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PHILIPS 50XM Fetal Monitor Service Manual

1. e MA Hubber bellows Pressure gauge or other xm nibp tif Figure 9 5 Connecting the Pressure Gauge Safety Maintenance and Calibration Connect a pressure gauge 0 320 mmHg to the parameter input socket of the monitor via the cuff tubing Press to switch the monitor into calibration mode This allows you to apply pressure through the NIBP connector and view the current measurement 131 NIBP Overpressure Test 132 3 Apply an exact pressure of 220 mmHg Wait ten seconds for the measurement to stabilize 4 Press Store Cal Both the old and the new calibration values are shown in the display Then the monitor reboots and releases the pressure automatically If the NIBP calibration fails FAILED is shown in the display repeat the calibration ensuring that you apply an exact and stable pressure of 220 mmHg If it fails repeatedly you must exchange the NIBP module You can test the proper functioning of the NIBP overpressure safety mechanism as follows 1 Manually pump up a blood pressure cuff and connect it to the NIBP input socket using the cuff tubing 2 Exercise pressure on the cuff The ventilation valves should release pressure in the cuff immediately The valves operate mechanically and should function whether the monitor is switched on or
2. Serial Quiet bus Interface Socket DECG1 9 LP 200 gt Gain Control AD gt LP 500 Hz H A control Transmit USH du Model Receiver b LP 500 Hz A gt A 1 Gain Control p AD Control D result TOCO Socket i EME D ia floating Gain Control 2 Sexciatons Cardio Mode MUX sense 3 t ode TOCO P 500 7 z Transmit 152 we Cardio 2 Receiver Socket b gt LP 500 Hz va gt 2 Gain Control Contro MECG _ E u Cardio 2 Mode DECG2 MECG2 Mo de Frontend Control us Clocks to Switch Board COD emmin logic feet Marker pgblk11a tif Figure 8 7 Frontend Board The Frontend board contains the analog circuitry for measuring all the possible fetal parameters of the monitor It includes the control circuit interface to the DIF board M1350 66515 The FOCUS ASIC on the board provides the US timing and window control and controls the ECG Fach type of transducer has a specific mode resistor which is recognized by the monitor when the transducer is connected to an input socket In this way different types of transducer can be used without having to recalibrate the system The FOCUS IC divides the 4 MHz system clock to generate a 181 kHz clock A power stage generates the power clock for the ECG transducers The ECG signal modulates
3. Pressure NIBP Board a M1350 66535 Pressure Sensor Amplifier Filter Release Valve UEM Y safety Circuit ADC Cuff and Switch Overpressure Pump Contro E ON O lt Pump Communication Processor with instrument NMIBPba tif Watchdog HAM ROM Figure 8 9 External Blood Pressure Board The measurement of the blood pressure is based on the oscillometric method in which an inflated cuff around the patient s limb partially occludes the artery The pulsatile arterial flow causes oscillations superimposed on the cuff pressure the amplitude of which can be analyzed to obtain the systolic and diastolic pressure values The procedure is microprocessor controlled The board offers three methods of obtaining the external blood pressure measurement Manual This method takes one measurement of systolic and diastolic on each request Auto This method takes repeated blood pressure measurements of systolic and diastolic at specific user selected time intervals Stat This method immediately takes repeated blood pressure measurements of systolic and diastolic over a period of five minutes This method uses a faster measurement procedure than the other two The cuff around the patient s limb is connected to the board via a single tube The cuff is inflated by the pressure pump once or repeatedly depending on th
4. 133 Operator Error tl dee AU eae ee eee get eee ee add 135 LC Display Warnine Wiessd es eens deine ee bee Redes WEES eee ees 136 SERVICE ETOS emardim urb bee teet One a eden 138 Error 500 ULP ee er I M EU SESS 139 Error 502 140 506 ROM DONEO ua rt reson eon ers ne Roe E 142 Error 507 a Gree O ane ME Edu eu 143 Error 513 CPO Boats E bu rer een daa I 144 Error 515 unused dex iude boe outa te ears ae amena See et Cee Oe eo eee 145 Error 516 or 517 brontend Doar a Sussex obs ode icin ue oma ets e d ea eas etu d AS 146 Enor525 0r527LBD Display Board bee M t boe eb ee den 147 Erxoro202 LbC D Display eae tee Me dre ER ATUS Gu D Se 148 Error 252 System Enterbace Board Led esque EE eae Vs ae eds 149 Error 5595 Dual Seal Interface Board pul ee pee eh RUE Se bes esas diui 150 Error 534 Maternal SpO Boatd nea ui denen de ae hon See dst eus Reade 151 Beton NPB BO atid ae QUA d hs Le deck wend Rene bees 152 Error 56 lelemetty
5. OCDE be Pe d 144 Figure 10 10 lroublesiooume Error 515 vies tex EXP P S Goes RH a ESSET TES 145 Figure 10 11 Troubleshooting Error 516 or 517 lessen 146 Fig re 10 12 Troubleshooting Error 5250 52 7 nebat ed URS ees ea GS dr d ee SES 147 10 13 Lroubleshootno Error 526 qub SECOS PU ease eae ex eee ee 148 Pioure 10214 Troubleshooune Emor D sa Sie Pur S poU Fe nb LU foede e 149 Figure 10 15 Troubleshooting Error 3533 cad eee Gees I d DEN m WD RS RE tab reet 150 Figure 10 16 Troubleshooting Error 534 _ Rae eee 151 Fig re 10 17 Tro bl shooting Error 535 ect 152 Figure 10 18 Lro bleshootins EEIOE OO Side IV 153 Fig re 10 19 Troubleshooting Error 340 2290955 ER tebe 154 Figure 10 20 Troubleshooting FrrorGU gauguweuede d oun eee E 155 Figure 1022 Troubleshooting BrroOF 002 dank ace ENT ODER is 156 Figure 10 22 Troubleshooting Ultrasound Parameter Test _ 156 Figure 10 23 Troubleshooting Direct ECG Parameter Test _ 157 Figure 10 24 Troubleshooting Maternal ECG Parameter Test _ 157 Figure 10 25 Troubleshooting Toco Parameter Test uuu veau du PRESA UE UE oh Renee 1
6. Replace remaining B type Interface PCB Check as for Err 500 Errb4Oap tif Figure 10 19 Troubleshooting Error 540 154 Troubleshooting Error 601 Recorder Paperfeed Err 601 DISPLAYED Is correct NO paper loaded Replace with correct paper Is Clean amp check optical YE y en is Error corrected paper Sensor displayed Is Err 601 NO T Error corrected displayed 2 Press marker Time for 1 minute Press marker again Measure distance between arrows Distance should relate to Speed recorder set to e g recorder set to 3cm min marks should be apart Is Check as for distance NO Check Paper Sensor Detector correct connection to Digital PCB Is Err 601 displayed 2 NO Exchange recorder assy replace stepper motor Error corrected ErroOp tif Figure 10 20 Troubleshooting Error 601 Caution The use of recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Troubleshooting 155 602 Incorrect of Paper Err 602 DISPLAYED Is
7. If the test results are not as outlined above repeat the test with another FSpO sensor and or M1365A patient module Safety Maintenance and Calibration NIBP Calibration Philips recommends that you calibrate the NIBP module at least once every year or whenever the validity of the readings is in doubt Use a calibrated pressure gauge kit to calibrate the NIBP module If you use a mercury manometer you must connect an expansion container volume 250ml 10 to the pressure circuit to simulate the cuff air volume connecting material can be ordered under part number 78354 67001 A mercury manometer is not as accurate as the recommended pressure gauge and if the manometer tolerance is gt 1 mmHg calibration cannot be done within Philips specifications To enter NIBP calibration mode 1 4 gt Disconnect all transducers from the monitor and disconnect or switch off Telemetry Make sure the recorder is on While pressing press Test e C01 is shown in the US1 US display e Oorl is shown in the Toco display Press again to select the Function Menu e 01 Print the Error Log is shown in the US1 US display Press repeatedly to select service setting A04 Press and you will see the Yes soft key on the LCD screen To calibrate NIBP is test mode does not use the monitor s internal pump This test mode d t use th t pump xm nibp tif
8. provided with the external device Materpar tit Figure 10 29 Troubleshooting External Maternal Parameters Troubleshooting Recorder Paper Sensing NO PAPER SENSING Is correct paper used NO zw Replace paper with correct type Check recorder ON Does error still occur NO Error corrected Check connection to paper sensor Does error stil occur NO Error corrected Check white label at bottom of paper tray Does error still occur Check as for Err 500 Papsensp tif Figure 10 30 Troubleshooting Recorder Paper Sensing NO Error corrected Caution The use of recorder paper that is not approved by Philips can damage the Monitor This type of damage will not be covered by warranty Troubleshooting 163 FSpO Monitor 164 If the Nellcor monitor has two power switches a mains switch at the rear of the unit and standby switch at the front of the unit take care to switch them off and on in the correct order Failure to follow this prescribed sequence can cause the unit to appear to malfunction by displaying data erratically or not at all Switching Off 1 Turn front switch on standby mode to standby 2 Turn rear switch mains power sw
9. 534 DSPII 507 ED 8 NBP Assy 535 Display Ohm 2 D2DOf E 527 5 E bos 2 IF Board A1 Digital IF Board CD 515 bo oard A2 Display Telemetry IF and 526 RS232 536 Service R5232 CPU Board 513 Barcode IF RTE Battery Config EPROM Recorder Assy ROM Board 506 Stepper Printhead Paper sensing Powersupply 502 28 V Backplane 24V Switch Board 501 s pablk8Oa tif Figure 8 1 System Overview 88 Theory of Operation 8 1 shows the boards and their interconnections The CPU board which has overall control of the entire system is connected to the ROM board which contains all the system software by the system bus The software for individual boards is loaded from ROM at startup The signals from the transducers receive some analog conditioning and are then digitized and loaded via the DIF board into the CPU board RAM The CPU passes the data to the DSPII board which processes it in the two signal processors Most data movement is by Direct Memory Access DMA The maternal parameters NIBP and maternal SpO and fetal SpO are processed completely by their respective modules The results of the processing are transferred from the signal processors via the DSPII to the CPU board RAM and then distributed to the outputs for example the recorder traffic lights and interface boards The backplane is passive all decoding and similar functions take place on t
10. ete mid bids a eee Buts EE 4 Switenine occ Ol And On e 42 Separating LHR eb ded ome ei ios d ono ED r 42 Sy be mine VIS abu am olt cease 43 5 System T terfaces coe he ERR RS ee a eS 45 Momor c eae o Gr tive tal 45 Tatertase tor PhilipsVi2 720A MASON sisi bus lab da mee a te sued aed 46 Functions for External Parameter Input _ ie de pul lup eap dr i Sce efus 48 eet dept da Cd cdd he LT 48 External a am oe 49 Intertace for Triplets toring oerte Co DU PR EO Ln ee ae oe nd es Baa oe 22 155292 System Dt FAC B alode dara oot Mm Ro deoa 52 System Intertace POM tak Ge ie we oad aeu aate eee que tede beeen dod dion 53 R52352 85422 Dual Serial Intestace Option L3 opa edente e e Pe ee eee Cartes NM ES 55 Comiccans External DOVICESLe quoa deum av Jussu BU dris uius 56 Philips CMS Philips 78352C 78354C Dinamap 1846 8100 Datascope Accutorr Monitor 57 COB Eg eae
11. Check as for Err 500 Replace remaining B type interface PCB Err532ap tif 149 Error 533 Dual Serial Interface Error 533 Board DISPLAYED Switch Remove Switch onitor Off Dual Serial onitor On Replace Dual Serial PCB Switch Monitor Off Remove all B type interfaces from the Monitor Switch Monitor On Check as for Err 500 Figure 10 15 Troubleshooting Error 533 150 interface Replace remaining B type Err533ap tif Troubleshooting Error 534 Maternal SpO Board Error 534 DISPLAYED owitch Monitor Off Hemove SpO board Switch Monitor On Is Err 534 displayed NO gt Replace SpO PCB Switch Monitor Off Remove all B type interfaces from the Monitor Switch Monitor On Is Err 534 displayed NO Replace remaining B type interface PCB Check as for Err 500 Err534ap tif Figure 10 16 Troubleshooting Error 534 Troubleshooting 151 Error 535 NIPB Board Error 535 DISPLAYED Switch Monitor Of h Hemove NIBP Switch Monitor On 5 9 displayed NO
12. ord Rebum o dai d Atos bb 220 ceca dash uui eni pate unu dci hte tuu d 220 Cable ConnsetlOls acres out nexa tod d bab ases wed tud aita dud d eds 221 Troubleshooting ice Gury esae dc Ewa cci a Duel ede wan ae eae qs 221 US MECG Combi Transducer M1358A eee RR ee 22 I GSCPIDPIO n d uou 222 Ae ec 222 eM qud pu or Mca ues r ele Pace eet 225 TOUDIESNOOLING ania aan ee PE dat EG quon oria QI CR 223 FUP Presse Transducer 84 5 GANS EEE EORR RR EE E E 224 depen nte 224 Patient Modules M1364A 1365 e a 225 orao ECCE pM AG ae ae 225 TL LITT ATTEINTS 225 5 sires add uc 227 OB 227 E a gore n cA EU MEM Ee 220 Gencal Sac IDIOrmatioll vs Se eese Paka ted cb dV Pme Gon ee Meee ue 229 ESU MRI and Defib
13. Phonejack 3 5mm stereo Figure 3 1 Cable for an Industry Standard compatible Configuring the Monitor 27 Installing the Service Program Before you install the program ensure that the serial port COM1 is set up as follows Transmission Rate 9600 BPS Parity None Word length bits 8 Stop bits 1 This is done by giving the mode command mode com1 96 N 8 1 at the DOS prompt Refer to your MS DOS Manual for details To install the program 1 2 Switch on the PC Create a directory for the program files For example to create a directory called service at the DOS prompt type in md service and press Insert the program disk into drive A At the DOS prompt type A and press At the A prompt type copy pegserv exe c service and press Where service is the directory you created to contain the program files The program is copied to Nservice Serial Interface Make sure that the serial interface configuration on the PC is set up as follows Connection 28 Datacom Configuration Parameter Serial Transmission Rate BPS 9600 Word Length bits 8 Stop Bits 1 Parity None OFF Pacing Off CTS Line Regard DSR Line Regard DCD Line Ignore Power to Interface Off Configuring the Monitor Connecting Connect the cable from the PC to the service socket 1 If you are using an HP PC use only the the PC to the COMI port M
14. VERS AMT eee 106 OBMS Interface Board M1350 66532 eee hte heres te 108 Dual Serial Interface Board M1350 66533 ce ee ec hh 109 9 Safety Maintenance and Calibration 111 utroductioliea Ns ane e a a ER he SEF A SUR na wat pte enfant 111 Recommended Frequency ob Vestine Sure epa eR Ee edes ues ear de a Bees pul dera 111 the MG DRM elie asia ae Dats cea 112 l erdtormance Assurance ious torn Stans ae ee Aaa alae ee M cic a 112 Del ess ee ee ae te ao 112 Parameter Et ebd eee atin redet d ee cena Cer idol 112 wr TP 114 Pettormance Assurance NIBP sa en Ado o eee abd ea eed Gama eee 115 Accuracy ests 5 adh eret ripa ae eb dein bbw Seda dg bd wale ed ade anand 115 EEA Bok d eee TETTE 115 Linearny Vest wos Sade ex Y eua ete a Me be ae la wed ahead ad ond hota eee 115 DEV ICS Wess beets Ste ow Ge a waht ake ae 116 Ad WI M Em 116 Permanent
15. died o cea E RIVER SO en DA WIDE I EE E 238 Table 14 11 Philips Carts Specifications us oo deiude b EE EOS REPE See wk cR dub v 248 Table 14s 2 Philips Carts Replacement PEE HIVE 248 List of Tables xvi List of Tables 1 General Information Introduction About this Guide Who This Guide is For What to do Next This guide tells you how to install service and repair a Series 50 XM Fetal Maternal monitor or a Series 50 XMO Fetal Maternal monitor It describes all the system hardware and software and tells you how to test the system and diagnose operating and service problems It also tells you what upgrade paths are available and how to follow them It gives instructions for both a Series 50 XM Fetal Maternal monitor and a Series 50 XMO Fetal Maternal monitor The features available on the monitor you are installing or servicing depend on which options have been purchased All instructions apply to a fully equipped monitor If your monitor does not have a described parameter then you can ignore that part of the instruction and skip to the next point The illustrations in this book show the Series 50 XMO Fetal Maternal monitor with the fetal pulse oximetry FSpO parameter and maternal parameters This guide is for technical personnel installing and servicing the monitor They must have a good understanding of medical equipment installation procedures Conventional current techn
16. NIBP Connector with tubing 453563272861 19 Plastic screw 0515 2795 1 453563024361 Marker Input Connector 1252 2702 1 453563050531 Paper Take up Tray M1350 00452 1 453563272321 Spring Holder Battery 1400 0967 451261001631 1420 0255 gt 1 5V Battery 453563483901 Battery Holder 45611 40019 1 453563093991 Spring Battery Contact 5021 3671 1 453563098841 Fuses Two types dependent upon the voltage selected 5 250V Fuse 2110 0458P 453563471191 1 250V Fuse 2110 0007P 453563071451 Pump Assembly M1008 60003 453563226771 1 94 Parts Lists h Table 12 5 Part Numbers Part Number Old Identifier New Identifier Description Qty Recorder EN Recorder new part see Chapter 13 M1350 60602 453563272951 Recorder exchange see Chapter 13 M1350 69602 453563273751 Parts Lists 195 196 Parts Lists 13 Recorder Assembly and Disassembly Introduction This chapter is split into three sections Replacing specific items m Disassembling and reassembling the entire recorder m Parts list This chapter provides detailed information on the complete disassembly of the recorder but it is not necessary to do this for most service tasks You should only disassemble the recorder as far as you need to replace an item Caution The use of recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Warning Do not gr
17. displayed Switch Monitor Exchange ROM Switch Monitor NO Is Err 506 Error corrected displayed 7 Check as for Err 500 Figure 10 7 Troubleshooting Error 506 142 Error corrected Err506ap tif Troubleshooting Error 507 DSPII Board Error 507 DISPLAYED Switch Monitor Off Remove DSP board from Monitor Switch Monitor On Is Err 507 NO displayed Check as for Err 500 Switch Monitor Exchange Switch Monitor Is NO en d Error corrected displayed 7 NES Check as for Err 500 Figure 10 8 Troubleshooting Error 507 Errbo tit Troubleshooting 143 Error 513 CPU Board Error 513 DISPLAYED Switch Monitor Off Exchange CPU PCB Switch Monitor On Is Err 513 NO displayed Check as for Err 500 Figure 10 9 Troubleshooting Error 513 Warning Use the service tool to write serial number and options to the monitor FM PT win The serial number and feature settings can only be written once 144 Erroigap tif Troubleshooting Error 515 DIF Board Error 515 DISPLAYED Switch Monitor Off Disconnect frontend System Bus Connector Connect new
18. INPUT VOLTAGE DEFINITION 1 DEFINITION 2 External Parameter Definition 1 TOCO Channel 1 V 100 Toco units HR Channel 1 V 100 bpm psm11sca tif Positive input voltages only when the paper scaling limits are exceeded the external parameter will no longer be recorded Figure 5 3 psm 12sca tif System Interfaces TOCO Channel 1 V 100 units Figure 5 4 External Parameter Definition 2 HR Channel 1 V 100 bpm 50 System Interfaces DEFINITION 3 INPUT VOLTAGE INPUT VOLTAGE o sH psm13sca tif Figure 5 5 External Parameter Definition 3 DEFINITION 4 INPUT VOLTAGE INPUT VOLTAGE lt 2 1V O T e wi g Le 3 ATTE psm13sca tif Figure 5 6 External Parameter Definition 4 When the paper scaling limits are exceeded the external parameter is recorded as a straight line on the limit Pin 10 S6 Cardio Channel L External parameter will be printed on the Cardio Channel Pin 11 S7 Toco Channel L External parameter will be printed on the Toco channel One and only one of either S6 or 57 has to be selected otherwise E H Hl Is displayed on the right hand Cardio 2 display 51 Pin 16 External Parameter Input Ri gt 10 kQ Uin max 5 V See external parameter code definition pin 8 pin 9 The external parameter is recorded but does not appear at the display and system interface o
19. Repeat Test Y Test fails Replace Digital PCB Figure 10 22 Troubleshooting Ultrasound Parameter Test Troubleshooting 156 Direct ECG Parameter Test Maternal ECG Parameter Test Troubleshooting DECG PARAMETER TEST NOT AS OUTLINED No Sound Y Replace Transducer Y Press Recorder keys or Function Keys Cliek from Loudspeaker ps Replace Digital PCB NO Replace Loudspeaker Still no Sound No mode detection or Wrong mode detection Missing Heart Rate Display Y Heplace transducer or Replace Transducer try other Cardio socket Repeat test Still no wrong mode detection check for error code displayed Replace Frontend PCB No Error code displayed Y Replace Display Replace Frontend PCB Still no Heart Rate Displayed Replace Digital PCB MECG PARAMETER TEST NOT AS OUTLINED Figure 10 23 Troubleshooting Direct ECG Parameter Test Y No information printed on recorder Y Check recorder On y Check paper loaded Y Check cable to thermal printer Y Run Thorough Instrument Test Y Replace Thermal Pri
20. Fe sesn AOSCIVUUQOOS I AOTCI OGG AOSOINOY LSAOGL OQL dg y payew se esn aeda Jo 2 09 09 00 AOCL OOL Ge Figure 2 1 System Voltage and Fuse Values on the Rear Panel Caution If the voltage has been set incorrectly you must reset it before you connect the system to the local line power supply See Setting the Required Voltage on page 16 Ensure that you use the correct fuse for the voltage setting Pre Installation Checks 15 Setting the Required Voltage 1 Using a flat blade screwdriver open the panel on the rear of the monitor 2 CE it 2 n Tx i les a gt c i D w joco il 8 QOO 4 OD 299 intsca tif pinisca 99 1 EO jo eo le ES Figure 2 2 Opening the Rear Panel 16 Pre Installation Checks Remove the voltage selector drum turn it to the voltage required and replace it d AU VES pin2sca tif uum il b Fe e y Figure 2 3 Voltage Selector Removal and Replacement 2 Close the rear panel and check that the correct voltage setting is shown see Figure 2 1 Installation For installation instructions please refer to the Instructions for Use Pre Installation Checks 17 18 Pre Installation Checks 3 Confi
21. ES Replace NI Switch Monitor Off Remove all A type interfaces from the Monitor Switch Monitor On Check as for Err 500 Figure 10 17 Troubleshooting Error 535 152 Replace remaining A type interface o Errb35ap tif Troubleshooting Error 536 Telemetry Interface Board Err 536 DISPLAYED Y Switch Monitor Off Hemove System PCB Switch Monitor On Is Err 531 NO gt Replace System Interface displayed GB 7 Switch Monitor Off Remove all A type interfaces from the Monitor Switch Monitor On ls Err 536 displayed Replace remaining A type nterface PCB Check as for Err 500 EE Figure 10 18 Troubleshooting Error 536 Note If the OBMS M1350 66532 board is connected to the Fetal Monitor at the same time check the C13 setting see Chapter 5 Troubleshooting 153 Error 540 Fetal 5 Board Error 540 DISPLAYED Y owitch Monitor Off Remove FSpO board Switch Monitor On Is Err 540 displayed NO gt Replace FSp Switch Monitor Off Remove all B type interfaces from the Monitor Switch Monitor On
22. e Ifa fatal error occurs for example if a board is defective error message is displayed for ten seconds After ten seconds the monitor tries to restart If the error occurs again contact your Philips Service Engineer or Response Center Parameter The parameter test tests the processing of the signal to and from the transducer but not the Test transducers themselves To perform the parameter test Switch on the monitor and the recorder m Connect the transducers for the channels to be tested to the correct sockets 112 Safety Maintenance and Calibration m Press Test The monitor produces an artificial signal for each transducer connected and the signals are processed You will see that the test signal is displayed and the mode symbols light You will also hear a sound specific for the type of transducer connected The following table shows the values recorded when the different transducers are correctly connected Ensure that the recorder is switched on If an error occurs it is displayed for ten seconds and then Err AN is printed by the recorder together with the time date annotation After this time Err N is printed every ten minutes together with the time date annotation Table 9 1 Parameter Test US Cardio 1 Combi 190 is displayed and printed using M1356A Signal quality indicator is green Fetal heartbeat is heard from loudspeaker US Cardio 2 170 is displayed and printed using M1356A Sig
23. Note Over the frequency range 800 MHz to 2 5 GHz the recommended separation distance in meters d is found by the following equation d 2 3 Js J For a compliance level of 3 0 V m P e 3 V m 3 0 V m 3 0 V m d 1 2 P 80 MHz to 800 MHz 3 V m 3 0 V m 3 0 V m d 2 3 P 800 MHz to 2 5 GHz d Recommended separation distance in meters P maximum output power rating of the transmitter in watts W according to the transmitter manufacturer E1 Tested compliance level in Volts meter for the Radiated RF Immunity test IEC 61000 4 3 Field strengths from fixed transmitters such as base stations or radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the device is used exceeds the applicable RF compliance level above it should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the device These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people If you require further information or assistance please contact Phili
24. Replace with paper gt correct paper TE Change paper format Remove all B type settings on the monitor Err602p tif Figure 10 21 Troubleshooting Error 602 Caution The use of recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Ultrasound Parameter ULTRASOUND PARAMETER TEST NOT AS OUTLINED Test Y Y Y Y No Sound No mode detection or Missing No information printed Wrong mode detection Heart Rate Display on recorder Y Y Y Replace Transducer Y Replace transducer or Fieplace Transducer Check recorder On try other Cardio socket Y Press Recorder keys Y Y or Function Keys Repeat test Check paper loaded ER Display Segments Replace Display PCB YES Y Still mode detection Check cable to thermal printer check for error code displayed Click from Loudspeaker p Replace Digital PCB NO Replace Loudspeaker Replace Frontend PCB Y Run Thorough Instrument Test Still no Sound No Error code displayed Replace Frontend PCB Still Heart Rate Displayed Replace Digital PCB Y lf Test fails Replace Thermal Printer
25. Safety Tests These test the electrical safety of the monitoring system and must be carried out after upgrades and repairs You must use a safety testing tool Instrument Safety Test see page 120 e System Test see page 120 Safety Test Blocks see page 119 General Information About the Monitor The monitor has five color and mechanically coded input sockets m Cardio 1 Combi for fetal heart FHR and fetal oxygen saturation F5pO m Cardio 2 for fetal heart rate for uterine activity NPB for external blood pressure NIBP SpO for maternal pulse oximetry When a transducer is connected the monitor automatically selects the correct operating mode The unit can monitor FHR using both direct ECG DECG and ultrasound US monitor maternal heart rate using ECG monitor twins using either DECG and ultrasound or dual ultrasound monitor uterine activity Toco externally or internally detect fetal movements FMP using ultrasound optional measure maternal blood pressure externally optional measure maternal pulse oximetry optional display maternal ECG waveform and record snapshot ECG waveform optional monitor FSpO optional A series of error messages appear in the instrument s display if certain measurements cannot be carried out Built in check facilities give you a greater monitoring confidence because most of the instrument functions can be ch
26. a quia t 29 Die dod EEE EE RI e 39 Socker eupheral Devices J1 5 9 2 etes SU beds Pav qeu De oes 45 Telemetry Input Sional Allocations tise teat 46 External Parameter Definition l uu 05 4 0446 44 0 4 440 40854 TERUEL UE Ree oes 50 External Parameter Definition 2 50 External Parameter Definition 3 ee ee cece ee ce eee eee eee ees 51 External Parameter Definition 4 51 85252 Systemi Interface Connector nedacus qus us quieto 52 System Interface Connections dts dc d d ao dd eee contd ae 53 Interface Cable M1350 61609 d asse ex n Ux bh Oe eee eis eek 57 COLIN Intertaee Cable LS e hes eae tee wee wae 2 Dual Serial Interface 9 Pin and 25 Pin _ 59 88 Power Supply Board PSU du ost Gales 92 CPU 93 DSP Bo 95 96 Gat gale or eee ae 97 Froment BOE aan ees ae eek ot 99 Maternal Spe ee da E UMS 101 Ex
27. 1 12 13 14 RS422 Input Digital Serial Input RS422 Input Digital Serial Input Instrument ON OFF Open PNP Collector R_i 22kQ ON Conducting External Marker 0 Output 21 1 Analog Output 1V 100bpm 30mV R_out 100Q 0 22 15 16 17 18 19 2 External Test Input When input is low external test is on Internal Pullup 5kQ Instrument ID 2 5V Regulated R_i 1000 Chassis Ground Chassis ground 1 In the event of a paper end or an FHR coincidence condition an analog signal is applied to Pin 21 23 4 2 1 output This lasts approximately 600msec and is repeated every minute while the condition remains The exact output voltage values are shown in the following table System Interfaces Table 5 3 Pin 21 Output Voltage Values ipe Paper Reserve Voltage Pin21 Coincidence End Bit Ott Bit Bit 8 o a o o9 o oos om o o o pose oem ox oa po pom om RS232 RS422 Dual Serial Interface Option J13 The Dual Serial Interface board provides data communication between the Philips monitor and external devices A model 8801 adapter is required from Critikon before the Dinamap 8100 can be connected to the interface socket on the Philips monitor External parameters are transmitted printed only if the monitor has no internal parameters installed p External Devices External Maternal Parameters a M1165A 1166A 1175A 1176A CMS V24 V26 Philips 78352
28. 8 Remove the two TLP bracket screws and washers only one shown 11 The brackets can be removed only one shown 12 See Figure 13 3 Pivot the front assembly forward Remove the paper box links only one shown 14 Slide the paper box 15 forward off the slides Turn the paper box upside down SAM our qe Lift the free end of the paper eject lever 44 slightly to get it over the lip on the paper box and rotate it 90 degrees anti clockwise to remove it It is best to remove the motor next though it can be left on the side plate if it isn t to be worked Recorder Assembly and Disassembly Figure 13 4 Motor and Side Plates Motor See Figure 13 4 1 Depending on the version of your recorder free the connector cable D Either a By removing screw and washer A and B and cable clip C from the base plate Or b By removing the cable from the integrated cable guide on the base plate not shown Recorder Assembly and Disassembly 203 2 Remove screw 33 and screw and washer 34a and 34b from the left side plate 3 Lift the motor 37 away from the side plate The idler cog shown in the figure is fixed to the left side plate and is not removable Right Side See Figure 13 4 Plate 1 Remove screws 20 and 21 from the right side plate 2 Remove the screw and spring adapter 22a from the right side plate 3 Pull the right side plate 19 away from the assembly Be careful of the platen washer 23
29. Leakage current can be hazardous to the patient Leakage current can increase if the monitor is connected directly to other equipment such as an additional patient monitor asecond monitor is applied directly to the mother Maximum Input Output Voltages 230 The following diagram shows the sockets for peripheral devices Oc 6 orm Oc m Ei 900 000 g 950 amp Q O 909 2696 Bog o O 696 oo 8 OG og Q 9 86 is 596 90 So a 95 89 Bo 5 s 69696 9069596 O Q 0209080802 56 C 906 PEGEH4 TIF 1 Mains Socket 2 Equipotential Grounding Point To use the monitor with other equipment in an operating room environment connect the equipotential grounding point 2 to earth potential Use the grounding cable supplied with Safety the monitor 3 5 input socket for the HBSW8200 Barcode Reader 4 Socket for the Philips Avalon CTS Cordless Fetal Transducer System M2720A and Series 50 T Fetal Telemetry System M1310A All 5V input except for Pins 1 14 15 and 16 12V input Pin 2 12V output Pin 3 5V output Pin 4 12V output 5 RS232 Digital System Interface for example for OB TraceVue Pin2 12V input Pin 3 12V output 6 Socket for one of the following e
30. RS232 digital system interface for connection to a Philips OB TraceVue system an IBM compatible PC See the table RS232 System Interface on page 52 for details Serial RS232 RS422 system interface for connection of Nellcor N 200 maternal SpO monitor and N 400 fetal SpO monitor for an M1350 XM without fetal 5 See Rear Panel Slot Positions on page 14 for a description of the board positions 45 Interface for Philips M2720A M1310A The Telemetry interface allows connection to the Philips Fetal Telemetry Systems Full functionality is provided by the Philips Avalon CTS Cordless Fetal Transducer System M2720A and Series 50 T Fetal Telemetry System M1310A with monitor software revision higher than A 04 00 The pin allocations for the various signals are shown below Case Chasis for cable shield connection EY ie oco Ext Mode 2 e 26 UP Mode Gnd 124 i S 11 oco Ch If New Interface Do not use If Old Interface Gnd 23 e US Mode ATA P Reserved 9 9e Reserved Mode FM 21 EPC MSB h INOP Mark 19 e Ext Parameter Gnd 18 S 5 Telemetry Gnd Signal 4e 12V Ext P t 16 Ext Parameter e 5Y ce Den 2 edo ss 14 16 printelem hpgl Figure 5 2 Teleme
31. Recorder Assembly and Disassembly 201 Paper Table Thermal Line Printer Assembly TLP Paper Tray 202 See Figure 13 3 1 Remove screw and washer la and 1b to disconnect the bottom end of the paper table spring 2 2 The paper table 4 is located on pins on the end of the bearing casing on the side plate Pull the table away from the pins to release it See Figure 13 3 But if you are changing only the TLP Head see Replacing Specific Items on page 200 1 Remove the two TLP retaining springs 3 to free the front of the assembly Use a spring hook to avoid damaging the springs 2 Pivot the TLP assembly backwards The TLP assembly can be left like this 1f it is not to be worked on Proceed as follows to disassemble it taking care not to damage the flex layer if you remove the thermal line assembly without disconnecting the sensors 1 Free the base plate end of the flex layer by removing screw and washer 5 Take care not to lose the washer It is easier to use a magnetic screwdriver 2 Remove the TLP assembly The assembly must be rotated slightly to get it off the pins on the base plate Remove the two ESD shield screws and earthing straps 6 Remove the two ESD shield screws 7 Remove the electrostatic discharge ESD shield 8 Remove the thermal line unit 13 uc coe dp esr M Remove the screw and washer 9 to free the flex layer and optical sensor assembly 10a It is easier to use a magnetic screwdriver
32. f test fails check NIBPtst2 tif GIF and NBP board Figure 10 28 Troubleshooting NIBP Parameter Test Internal maternal parameters contained within the monitor override external maternal parameters Troubleshooting 161 External Maternal Parameters 162 No manual measurements are printed on the trace Is Err 533 displayed on Yes Internal maternal parameters override the external maternal parameters Fetal Monitor Is the interface cable connected to the correct 3 Proceed as for Error 533 Port 2 Nellcor Socket on the IF board interface cable Port 1 All other external devices in the correct port on external device the correct No 3 Refer to chapter 7 for details IF cable used DIP switch setting No 3 CMS M1350 61609 required on the dual IF board correct correct SW Revision Refer to chapter 7 for details 1 Check SW Rev via Error Log installed in the Fetal Monitor 9 values shown on No v gt 2 Refer to chapter 5 for correct Software version Refer to the Service Documentation external device Yes Check the external device settings and function Refer to chapter and the Service documentation provided with the external devices
33. Contents Figure 1 1 Figure 1 2 Figure 1 3 Figure 1 4 Figure 1 5 Figure 1 6 Figure 2 1 Figure 2 2 Figure 2 3 Figure 3 1 Figure 3 2 Figure 4 1 Figure 5 1 Figure 5 2 Figure 5 3 Figure 5 4 Figure 5 5 Figure 5 6 Figure 5 7 Figure 5 8 Figure 5 9 Figure 5 10 Figure 5 11 Figure 8 1 Figure 8 2 Figure 8 3 Figure 8 4 Figure 8 5 Figure 8 6 Figure 8 7 Figure 8 8 Figure 8 9 Figure 8 10 Figure 8 11 Figure 8 12 Figure 8 13 Figure 9 1 Figure 9 2 Figure 9 3 Figure 9 4 Figure 9 5 Figure 10 1 Figure 10 2 Figure 10 3 Figure 10 4 Figure 10 5 Figure 10 6 Figure 10 7 List of Figures Figures VARS bee ahaa we Share tem ares cone hain ad 8 Catdio and Foco Channels 2 5 bd ev ens Os 4 2655 PRESSES 9 Maternal Parameters aca dtd tau 11 Recorder Keys uHO M 12 Sette Keys ones iu optet dated Mie dace ramo ava she dos Seon ge Ds 13 Rear Panel Slot Positions ind cabo dod baw ae ve dau C ed ar a et oe dg 14 System Voltage and Fuse Values on the Rear Panel 15 Opening the Rear soutien dete us an ae eae eee a 16 Voltage Selector Removal and Replacement P ve e pes 17 Cable for an Industry Standard compatible 27 Service SOCKEE
34. FHR Cardio Scales Uterine Scale B activity Toco scale Vertical Scale Size 7cm 8cm Vertical Scale Sensitivity 30 bpm cm 20 bpm cm Range 30 to 240 bpm 50 to 210 bpm 0 to 100 units 246 Manufacturer s Information Z fold paper with numbered pages Recording times per pack 8h 20min at 3cm min 12h 30min at 2cm min 25h at 1cm min Fetal Movement Profile FMP recording 2 mm high bars on upper Toco scale Testing Test button With no front end connections to the instrument a thorough instrument test is Facilities performed including a display and recorder test With the appropriate transducer connected the respective mode can be tested See Chapter 10 Troubleshooting Manufacturer s Information 247 Carts You can mount the Series 50 XM and the Series 50 XMO fetal maternal monitors on the Philips CL CM or CX carts Cleaning instructions for the carts and safety details are provided in the Carts Equipment Note delivered with your cart Table 14 11Philips Carts Specifications Specifications Width mm Depth mm Height mm Weight kg Table 14 12Philips Carts Replacement Parts Replacement Cart CL Cart CM Cart CX Parts M1323A M1324A M1325A Wheels M1324 42100 1323 42075 Drawers M1324 68500 CAM Mounting 5061 8340 Arm Kit Mounting IUP 80310 68701 Pole Infusion Pole 5061 8364 Mount Mounting Rail 5061 8365 248 Manufacturer s Information
35. Monitor Using Pusibuttons ction bxc se ans 21 Printing and Clearing tie Pron Log Terea eps Soa QU abu 24 Chans ine te me va aoo d undecim Pa Pet s heen woe Sub dede ga Saeed bak 27 Conireurine the Montor Using d PO dw ad di d 27 sie ad Bela ain 28 Connecting the DC todhe Mentor 2 35 qute Cb e 29 Loadine the Setvice 29 Usne the Service es ie 30 Man MEO eee Ge avos Dod use decedit cede Ue 30 the uus te cece tine ace eee ice eee ole 31 eC 32 Service eh eo marie aici brian tes LA Pen dee 33 4 Getting Started Basic Considerations and Operation _ 39 Sete the Mimeand ate garst aie eens Meee Paes e Eos 39 Chanting the Time Formae oues ing ee hoes Ue eee ee Bete ome ERE DPA SE 40 Contents iii setne Paper Speed Scale scs bias Gu etn Sl duae de 40 PAapemopecd alice a c ee ein 40 Setting the PIR Paper Scale
36. ee IMP a a ae aa EA 37 Nellcor N00 or N 400 Monitor eie e raea a PE DU wb dd dq 58 Dhilps wd neck ete er he SEE Md Meee ee eae beers E EEE 59 External Device Baudrate Settings and Configurations lat ewe che ORNA ORI iR aoa dees 60 PR TC DTP 60 Philp 2 a edd eek Ne rad DEDE 60 Philips 8 29 27 and 994 ee ee Gale eee tose ea bees eee dee 60 BS OO se ected ee Ide Gece eee P EE 60 AOL ONO ele San genie med bese eee Mete EE ee 61 Datascope 2509 eet ea ade espe iacu I pdt S dub 61 Nelo N 200 dias NEU 253028265555 t3 d OE te E Doe fee Vn ap Rok oe eir itg 61 External Material Measurement on the FHR Trace ndo od ire deo Een Gh beo etnia giu red 62 crude diro dc Ee i eiit She 63 6 Ouick Installation CBecEs oue n aA at ON EN a A eu RR 65 Cheeks cos iste pde eie ob e Poet ete d e dodo weber sant 65 TM pperades 4 ie ba Mb MEE DERE Sat e E E p PP Vd 67 Marodi ESTER T E EL LT E LT 67 yerview OLEI DP FIO DIOS E o eee be E Let OLEI Du 67 Work Instructions ara Cheo bet ede us et ed edi Sed 68 CODBOUS XE Glance oca vule descended ed Atos b nee
37. p EOM ur T The right eject lever fits on the end of the eject rod with the longer machining Make sure the lever 1s the right way round before fitting Fit the right eject lever 41 on to the rod 40 being careful not to break or weaken the built in retaining clip Slide the eject rod 40 into the base plate Fit the left eject lever 39 onto the free end of the eject rod Replace the screw and washer 38a and 38b on the end of the eject rod Replace the spring 16 using a spring hook Fit the three base plate screws 43 and the rubber O rings not shown It is easier to attach the flex layer 10b to the base plate before the paper box is fitted However this can make it more difficult to assemble the TLP assembly later Attach the flex layer 10b to the base plate with screw and washer 5 if you want to do so at this stage Be careful with the flex layer as it is easily torn at the junction of the Y It is easier to use a magnetic screwdriver See Figure 13 4 ie dece det 10 11 Put the left side plate face down on the bench Fit shaft 42 and attach screw and spring adapter 22b Locate the left platen spacer onto the left side plate Position the washer 31 over the hole in the platen bearing It is essential that the correct washer is used 0 15 mm thick 8 mm external diameter hardened Fit the drive belt 32 on the cog on the right end of the platen and locate the pin of the platen in the hole in the pressed bearin
38. 0 DIP Switch Settings on the DSIF Board itch Connector 1 Connector 2 Switch Settings nnl Mia Dinamap 1846 Nellcor N 200 600Bd 2400Bd X X X Philips CMS and Nellcor N 200 Philips 26 24 Series 2400 Bd 9600Bd X X X Accutorr Nellcor N 200 9600Bd 2400Bd Colin BP 8800 Nellcor N 200 4800Bd 2400Bd X X X 78352 4C Nellcor N 200 9600Bd 2400Bd X X X Configuring the Monitor 23 Printing and Clearing the Error Log 24 Table 3 5 Service Setting C12 Options Auto Recording Acoustic Paper Option Off Out Alert Number 4 default Cwe To print or clear the error log Disconnect all transducers from the monitor and disconnect or switch off Telemetry Make sure the recorder is on 3 While pressing press e 01 is shown in the US1 US display e 0 or 1 is shown in the Toco display 4 Press again to select the Function Menu e 01 Print the Error Log is shown in the US1 US display To print the Error Log press The display shows nnn nnn nnn Press again to select A02 Clear the Error Log To clear the Error Log press The display shows nnn nnn nnn Configuring the Monitor The following shows an example of an error log Table 3 6 Example of an Error Log 506 0005 98 09 14 11 27 98 09 14 16 53 FIC 0540 0008 98 09 14 11527 98 09 14 16 54 E1C6 0005 98 09 14 11 27 98 09 14 16 53 021A 0002 98 09 14 16 24 98 09 14
39. 3 With this setting you can switch the control between the RS232 port on the new Telemetry System board M1350 66536 and the RS422 port implemented on the System Interface board M1350 66532 If only one of them is built into the fetal monitor this one will be active regardless of the setting 4 Response mode is an output average filter You can select whether the monitor averages samples over a short time approximately 10 seconds or longer period approximately 50 seconds The times vary according to the heartrate and signal quality and those quoted here are valid for good signal quality and a heartrate in the 120 bmp range The fast response mode because it requires fewer samples allows you to see sudden changes in output more easily Fast response mode is indicated on the trace by 22 Configuring the Monitor Table 3 3 Service Setting C10 Options DSIF Configuration Options Connector 1 9pin Connector 2 25 pin C10 Option See Table 3 4 Dinamap 1846 8100 Nellcor N 200 Colis BP 8800 NelcorN 20 zo Nall N 200 Accutorr all Accutorr all models 0 Nellcor N 20 N 200 Philips 26 24 Series Dinamap 1846 8100 Dinamap 1846 8100 8100 Nellcor N 400 00 N 400 o Philips CMS Nellcor N 400 15 Philips 26 24 Series 1 The service setting C10 0 ensures the compatibility of older monitors with external devices and will not normally be needed with the M1350B and M1350C Table 3 4 Service Setting C10
40. 50 210 Recorder Print Offset O right 0 to 11 11 left 3 German 4 Dutch 5 Spanish 6 Italian 10 Japanese 13 Chinese simplified 17 Russian Recorder Marker 0 normal l system acknowledge Note Output to System O transmission off Roman 8 1 transmission on DSIF Refer to Table 3 3 Configuring the Monitor 21 Recorder Heat Adjust 02minimum 11 112 maximum Language Option 1 US International 2 French Table 3 2 Configuration Options Cll External Toco gain 0 100 External Toco gain 1 50 Refer to Table 3 5 C13 OBMS and Telemetry 0 RS422 System Interface on OBMS 1 System boards board active 1 RS232 System Interface on Telemetry System board active l on NIBP paper save mode O off l on C17 MECG trigger click volume 2 FSpO alarm FSpO alarm volume 1 To find the correct setting connect a transducer to the monitor and then change the setting until the FSpO response time trace is recording 20 units on the paper Because of the 8 second time out feature and the delay between changing the setting and seeing the change on the paper you may have to repeat this procedure to set the offset 2 If the alert acknowledgement function is on the fetal monitor adds the alert acknowledgement function on the recorder marker button This alert acknowledgement is given only to the central station after a request from the central station communication is via the digital interface
41. Reassemble according to Exit procedure failure might be found 139 502 Power Supply Warning The following task requires that the power be on while the cover is removed Proceed with extreme caution Failure to do so can result in serious injury Error 502 Check Bev 6126 see figure 4 7 on frontend PCB Are Sea TEN correct NO Hemove Power Supply check all voltages on PCB Are voltages on PCB connector correct 7 NO Remove all backplane PCBs from the maintrame Assemble one after the other CPU POB ROM PCB DSP PCB Interfaces type Interfaces type A Exchange PSU PCB Check after each PCB replacement the 5v A12V on power Supply test points L12W after board placement correct ur NO a Exchange relevant PCB TE Exchange Backplane PCB OR Digital PCB OR Frontend PCB Y Error Corrected Err5OZap tif Figure 10 5 Troubleshooting Error 502 140 Troubleshooting Checking Output from the Frontend Board Checking Output from the Power Supply Board Troubleshooting Warning Electrical current is dangerous You must use extreme caution when performing the two following proc
42. Signal ground for pins 14 and 15 Pin 18 24 Ground for supply and status bits S1 to S10 activation System outputs will be controlled in the telemetry mode as in the front mode Pin 25 MECG Mode Input gt L MECG mode programming Activated MECG mode will be displayed on the front panel The input signal from pin 1 MECG Analog Input will be processed by the instrument Pin 6 S2 External Parameter ON L The external parameter is printed on the recorder in addition to the front mode information Pin 5 51 must be High if not appears in the display m Status bits S3 S7 have function 2 Pin 7 S3 INOP L Printer disabled for the external parameter Pin 8 S4 MSB and Pin 9 S5 LSB External parameter code EN o x4 1 see Figure Definition 1 3 see Figure Definition 3 4 see Figure Definition 4 2 see Figure Definition 2 49 TE T m um OAM EN HERREN BE EE REAGRERRER IE gt T LEL E fih 7117 E INPUT VOLTAGE INPUT VOLTAGE BENEEREBSRRERE HALLS a E 34 eee eee ee LLL Ill ci Dh A ABBR RA LII I 2 EHHH o T gt LT 2
43. The test measures leakage current of exposed metal parts of Instrument Under Test with Protective Earth open circuit it tests normal and reversed polarity For type BF and CF Applied Parts the test measures AP GND Safety Test according IEC 60601 1 Clause 19 4 Report the highest value Test to perform The patient leakage current test measures patient leakage current from the applied part to the earth caused by external main voltage on the applied part Each polarity combination possible must be tested This test is applicable for ECG and SpO Safety Test according IEC 60601 1 Clause 19 4h Report the highest value Abbreviations AP Applied Parts Instrument Under Test GND Ground PE Protective Earth Safety Maintenance and Calibration Regular Maintenance Mechanical Inspection Recorder Maintenance Ultrasound Transducer The care and cleaning requirements that apply to the monitor and the monitoring accessories are described in the nstructions for Use This section details the periodic maintenance recommended for the monitor and accessories Inspect all exposed screws for tightness Check all printed circuit boards are firmly seated in their connectors All rear panel connections must be tight Check the condition of all external cables especially for splits or cracks and signs of twisting If serious damage is evident the cable should be replaced immediately The recorder platen thermal print
44. narrowest end of the panel Motor Motor Plate Idler Cog Driver Cog Cable pegdbelt tif See Figure 13 3 1 Locate the motor 37 on the left side plate making sure the idler cog is visible through the cut out 2 Attach screw 33 and screw and washer 34a and 34b 3 Adjust the belt tension and tighten the motor retaining screws Thermal Line See Figure 13 2 Assembly 1 Attach the flex layer and optical sensor assembly 10a to the TLP assembly using screw and washer 9 It is easier to use a magnetic screwdriver If you are using a new flex layer it should be folded at its junction with the PCB holding the optical device to make it easier to insert as shown below The following figure shows the location of the sensor in the TLP assembly pegflex tif 208 Recorder Assembly and Disassembly pegflex2 hpg 2 Fix the TLP brackets 12 using the screws and washers 11 Fit the TLP Head 13 and the ESD shield 8 and attach with the screws 7 front of assembly The thermal line unit must be pushed to the right and to the rear before the screws are tightened 1 00 e 10101010 101 pegtlp2 hpg Attach the two screws and earthing straps 6 rear of assembly 5 Slide the assem
45. o MAU Enable alert acknowledgement Z Note Output to System Z NIBP paper save mode Ce o MECG trigger click volume d 2 FSpO response time F 2 FSpO alarm d z FSpO alarm volume 1 However you can run the Permanent Test which is similar See Printing and Clearing the Error Log on page 24 2 See Printing and Clearing the Error Log on page 24 3 To print the error log from a PC first save the error log from the pegserv tool as a text file 20 Configuring the Monitor Configuring the Monitor Using Pushbuttons You can set the time format date format IUP scale paper format recorder scale offset recorder heat and language option using pushbuttons To change a setting 1 Disconnect all transducers from the Monitor and disconnect or switch off Telemetry 2 While pressing press The display shows CO1 in the US1 US display and 0 or 1 in the Toco display 3 Toggle through the menu by pressing or until you arrive at the menu item you want to change The menu items and their settings are shown in Table 3 2 4 Press to change the setting 0 or 1 5 Press to store the new settings If yo do not press any keys for about 15 seconds the settings will be automatically stored Table 3 2 Configuration Options Time Format 0 AM PM 1 24 hour Date Format 0 US month day year 1 Europe day month year Format 0 mmHg 1 Paper Format 0 US 30 240 1 Europe
46. optional Opening Recess Socket for Remote Event Marker Setting Keys Service Socket General Information Cardio and Toco Channels leta4 tif amefata tif Figure 1 2 Cardio and Toco Channels 10 General Information Toco Display shows uterine activity Fetal SpO display shows fetal pulse indicator signal quality alarm status and cross channel verification plus indicator Cardio Display shows the FHR Signal Quality Indicator shows the quality of heart rate signal detected by the transducer e Green optimum e Yellow fair to potentially poor e Red unacceptable Function Key selects menus for e FMP twins offset logic FHR alert and FSpO e returns to normal display MECG Indicator shows when MECG is being measured through this channel Indicator location different for Series 50 XM Fetal SpO display shows current value of FSpO Speaker Lamp shows which heartbeat is heard from the loudspeaker Volume Keys set the volume and select the channel to which you are listening Changes current setting of FMP twins offset logic FHR alert and FSpO alarms Recess for use when tilting the display 10 11 12 13 14 15 Remote Event Marker Socket for connecting remote event marker 15249 Cardio 1 Combi Transducer Socket You can connect FSpO ECG combined patient module M1365A ECG only patient module M1364A An ultrasound transducer 1356 A DECG transdu
47. 2 P 0 5 MHz 1 6 MHz Medium Wave AM 0 1 V 0 908 MHz d 35 0 P radio stations 3 0 V 1 6 MHz 3 0 MHz Commercial radio 0 3 2 998 MHz d 11 7 P stations marine radio service marine navigation amateur radio aircraft radio 3 0 V 27 0 MHz 29 6 MHz CB radio in UK 0 2 V 28 693 MHz amateur radio 28 980 MHz and 29 562 MHz 3 0 V 29 6 MHz 38 0 MHz Commercial radio 0 9 V 34 664 MHz service 35 011 MHz and transportation public 35 361 MHz safety industrial wireless microphones radio remote controls Key d Recommended separation distance in meters m maximum output power rating of the transmitter in watts according to the transmitter manufacturer V1 Tested compliance level in Volts for the Conducted RF Immunity test IEC 61000 4 6 236 Safety Table 14 9 Radiated RF Immunity Radiated RF Immunity Test EN IEC 61000 4 3 IEC 60601 1 2 Electromagnetic Environment Guidance Test Level and Compliance level imunity Level Recommended Separation Distance d Specified Test in Meters at Frequency Range Tested Frequency Range for Ultrasound and ECG Measurements Note The device meets the compliance level of 3 0 V m according to IEC 60601 1 2 for the specified test frequency range Over the frequency range 80 MHz to 800 MHz the recommended separation distance in meters d is found by the following equation d 1 2 P 3 2 For a compliance level of 3 0 V m P Cai
48. 80225A or 80235A B Obstetrical Information Management System OBMS e M1370A Obstetrical Display Information System ODIS e 12V except for Pins 17 18 and 22 which are 5V input 7 Socket 9 pin for an external device Pin 3 12V 8 Socket 25 pin for an external device Pin 2 12V Pins 9 and 10 5 Volt Service Socket The Service Engineer can connect a compatible laptop Palmtop or PC to this socket 1 to carry out extended configuration and service functions xmosyale tif Lo o Ts Y ERES z qora 8 1 4 B LESE AIT Et Bre Je T m Oe v Line 1 xmosys le tif Safety 231 Maximum voltage of 12V Protective Earth To protect hospital personnel and the patient the monitor s casing must be grounded Accordingly the monitor has a 3 wire power cable that grounds it to the power line ground when plugged into an appropriate 3 wire receptacle Do not use a 3 wire to 2 wire adapter with the monitor Any interruption of the protective earth grounding will cause a potential shock hazard that could result in
49. ACOG technical bulletin 40 alarm testing NIBP alarm 132 Alerting FHR enabling and disabling 38 Avalon CTS 45 B backplane removing 172 batteries removing 173 baudrate settings 60 board positions 14 board removing 171 booting and self test 90 C calibrating the NBP function 131 calibration NIBP 131 care and cleaning 112 carts replacement parts 248 specifications 248 cleaning monitor 112 CMS connecting to the monitor 55 configuring the Monitor using a PC 27 using pushbuttons 21 using the service program 31 connecting PC to Monitor 29 conventions 1 CPU board functional description 93 cyclic test using the service program 33 D damage claims 70 date changing the format 40 setting 39 date and time setting 39 DECG input specifications 218 225 parameter test 157 DECG legplate adapter M1347A specification 219 DECG transducer M1364A cable connections 218 specification 218 troubleshooting 218 defibrillation 230 DIF board functional description 97 removing 178 digital interface board removing 75 Digital System Interface 52 DIP switches for N 400 N 200 58 display assembly removing 180 replacing 180 display housing exchanging 182 Index display panel removing 76 replacing 72 display specification 245 display quick visual check 65 DSPII board a functional description 95 dual serial interface connecting external devices 55 functional desc
50. Digital Interface PCB Frontend PCB Leave original frontend assy attached to the monitor Switch Monitor On Exchange relevant PCB Switch Monitor Off Disassemble frontend assy Exchange digital PCB for new one Switch Monitor On Exchange relevant PCB Error corrected Figure 10 10 Troubleshooting Error 515 Troubleshooting 145 Error 516 517 Malis Error 516 or 517 DISPLAYED Switch Monitor Off Disconnect frontend System Bus Connector connect new Digital Interface PCB Frontend PCB Leave original frontend assy attached to the monitor Switch Monitor On Exchange relevant PCB Switch Monitor Off Disassemble frontend assy Exchange frontend PCB for new one Switch Monitor On Exchange relevant PCB Error corrected Erroleap tif Figure 10 11 Troubleshooting Error 516 or 517 146 Troubleshooting Error 525 527 LED Display Board Troubleshooting Error 525 or 527 DISPLAYED Switch Monitor Off Connect replacement LED PCB to DIF board Switch Monitor On Is Err 525 or 527 displayed 9 Switch Monito
51. Earth Terminal This symbol identifies the terminal for connection to an external protective earth Positive Confirmation Symbol This symbol against an item in a table means applies to the item Not Applicable Symbol This symbol against an item in a table means not applicable 2 General Information Unpacking and Checking the Shipment Initial The monitor and any supporting options ordered are supplied packed in protective shipping Inspection cartons Before unpacking visually check the packaging and ensure that there are no signs of mishandling or damage Open the package carefully and remove the instrument and accessories Remove the accessories packed in the base before you dispose of the packing Check that the contents are complete and that the correct options and accessories have been delivered refer to Table 1 1 Claims for If the shipping cartons are damaged contact the carrier Damage If any of the equipment is damaged contact both the carrier and your local Philips service organization for repair or replacement arrangements Repacking Retain the original packing carton and material in case you need to return equipment to Philips for service If you no longer have the original packing materials Philips can advise you on alternatives Table 1 1 Contents Checklist Fetal and Fetal and maternal FSpO and FSpO Fetal Monitor M1350B M1350C M1350C Option Option Fetal and Descri
52. Interface BOSE a 2x oet e e SUE tutos Ven eee aw hee tebe 153 Error 20 Eeral pO Boards sau ahs SS eed ee eee sd Oe aioe eee ee 154 Error Gole Recorder Papertced auda e T eb mr re Mew one edie tele 155 Error 0025 ncortect Vypeol Papers eade a EU SERIE Re aad eb doi Bas Oe eee 156 Ultrasound Parameter est ua nd Ie P bad Cotten ees pee Me grade ed ees 156 Direct HCG Parameter See PSU oe te PEU LUI E ERE EE eee 157 Matermal ECG Parameter E 6365s bois nex Chote phe d bete debt ded ates 197 Toco Porametteb Ten Ls eee ede rae Bae 158 Miaternal pO Parameter Tet girerer heene piede suia in Ben pte ee ae eA 159 Petal Pasaeterobesbo Yee eee eek eee eee Rea aed ee 160 NIDE Parameter Test Meds bg dt idee desee 161 Martera Paramete wanes or Ret ened tue eeu etd eee eden Se 162 Recorder PaperSensin Saidurt idaho RE b ee Pe a ead eae ke 163 WAG MILO 2 5 Us minarets Stee une Bae dhe Ged a erase ados plis utere eR 164 11 Removal and Replacement 165 Introd C101 ooa tien ace orb dd dee dS edt due tese unge ted a Se ea 165 Rest Inspectioncand Procedures 2 5 ec a ip toC eR UR eta dato teta p o ede ae Dust
53. Interfaces Dinamap 1846 8100 Datascope Accutorr Nellcor N 200 and N 400 System Interfaces Baudrate Startbit Databits Stopbits Cable Baudrate Startbit Databits Stopbits Cable Baudrate Startbit Databits Stopbits Cable 600 1 8 Parity 1 1350 61609 9600 1 8 Parity 1 1350 61609 2400 1 8 Parity 1 1350 61609 61 External Maternal Measurement the FHR Trace 62 Annotations on the trace of measurements made by external devices are always prefixed with an asterisk Maternal measurements made by the 50 XM XMO monitor itself have higher priority than maternal measurements made by a device externally connected to it Table 5 6 External Maternal Measurement Frequency Measurement Printout Parameter Interval ae p fp MECG Waveform Not available Temperature Not available 5 minutes 1 If you are using automatic mode to measure maternal blood pressure with a short interval between repetitions not all measurements will be recorded on the paper If you monitor maternal NIBP only an MHR measurement is printed at the same time as the NIBP measurement If you monitor SpO 7 an MHR measurement is printed at the same time as the maternal SPO measurement every 5 minutes If you set the NIBP monitor to automatic mode you must leave a minimum time interval between each measurement This time interval depen
54. M1362B or M1363A connected Result Cardio 1 Combi channel display must show Connect the M1362B or M1363A adapter cable to the M1365A Patient Module With open connections i e no connection to electrode s on patient the fetal monitor s signal quality indicator should be red and either no numeric in the display or NOP Safety Maintenance and Calibration Note The position of the M1365A and the 1362 1363 cable relative to each other can influence the displayed result e g an antenna may be unintentionally created receiving spurious signals Testing DECG 1 Take an unused Fetal Scalp Electrode and connect it to the DECG adapter cable Mode 2 EITHER a Make a short between the spiral electrode and the reference electrode with your fingers it is best to wet your fingers first Caution Take care not to injure your fingers Spiral Electrode Reference Electrode E Result NOP should disappear OR a Cut off the plastic tip of the fetal scalp electrode containing the spiral and reference electrodes from the end of the wires Strip the insulation from the end of the wires and connect them to a patient simulator Note We do not recommend the use of a specific patient simulator The use of a patient simulator does not allow checking the specification of the ECG Functionality it allows only a check of general function Result NOP should disappear If the t
55. Parallel 1 Serial Recorder ta Converter Latch Stepper Power LED Display to Dimmer Ane Keys Frant Bus Local bus UART Serial System bus driver nterface System Interrupt ADEMUX Audio Audio DAC Amplifier Speaker AD Result AD Control t Frontend Quietbus pegblk10 tif Figure 8 6 DIF Board The Digital Interface DIF board provides the interfaces to recorder display speaker Frontend board and external service computer After system startup the CPU starts the A D control chip ADEMUX a proprietary Philips IC which divides the signal from the clock circuit and generates an interrupt every 2 5 ms The 68000 on the CPU board then programs the ADEMUX to select the analog channels for A D conversion the analog digital conversion of up to eight channels is done by ADEMUX without further intervention by the CPU A D conversion is by successive approximation After the next interrupt the CPU reads the results stored in registers within ADEMUX ADEMUX also receives values from the CPU for audio output The quiet bus is only enabled during CPU access to the Frontend board to minimize noise on the analog amplifiers on the Frontend Address and data bus drivers decrease the load on the system bus The recorder interface consists of The parallel serial converter for the thermal array data heating timer to con
56. ROM board into the DSP CPU 68000 program RAM The program tests the DSP CPU board If it fails the appropriate error code is displayed The signal processing software is stored as programs which perform discrete functions for example depth selection or auto correlation The DSP CPU generates a list of programs it wants and passes the name of the first program to the CPU board which transfers the program to the DSPII program RAM by DMA The DSP CPU 68000 transfers the program from its 68000 RAM to the program RAM of the appropriate signal processor The DSP CPU deletes the program name from the list when it receives the program When the list is empty the CPU board passes control to the DSP CPU 68000 which starts normal processing The ARCHIMEDES signal processors receive latched resets from the DSP CPU 68000 to allow the system to start tidily When the system boots the US processing software is loaded by default If an ECG transducer is connected the change in transducer is detected and DECG software is booted from ROM to replace the US software The following self tests are performed while the system is running The DSP CPU checksums the signal processing software approximately every minute and the CPU board checksums the ROM board at approximately the same interval If the checks fail the system is reset and rebooted An ASIC is fed patterns by the CPU board 68000 every 300 ms If it doesn t receive a pattern it resets the s
57. Right M1350 02312 1 453563272401 1 0515 1111 A Mounting Screws Holder Front Panel M3 x 16 451261001581 gt 2 Mounting Screws DIF Board Support M3 x 4 0515 1508P 453563024121 A Front Panel Label Kit XM M1350 60606 453563272991 Front Panel Label Kit XMO M1350 60607 453563273001 29 Chassis FE Board M1350 02314 1 453563272411 15 M1350 47402 Paper Eject Key 453563272851 6 Spring Paper Eject Key 1460 2250 453563058411 1 7 Power ON OFF Key 5041 1203 1 453563099581 18 Power ON OFF Shaft 5040 9317P 1 453563099491 2 Loudspeaker Assembly 9164 0710 453563202961 23 LED Assembly Power M1350 61607 1 453563273031 N A Function Key Switch Assembly M1350 66521 1 453563273261 N Recorder Key Switch Assembly M1350 66521 1 453563273261 26 M1350 69201 Display Assembly Fetal Maternal 453563273571 26 Display Assembly Fetal only M1350 69203 1 453563273581 92 Parts Lists Table 12 5 Part Numbers Part Number Description NLIS NNNM Old Identifier New Identifier 26 Display Assembly Fetal with FSpO M1350 69206 1 453563273601 2 On Display Assembly Fetal and maternal with FSpO M1350 69205 1 453563273591 19 Display Assembly Mounting Screws 0515 2795 453563024361 Mounting Screws DIF Board M3 x 6 0515 0886 2 453563480691 0515 0886 Mounting Screws Frontend Board M3 6 4535
58. Se NA 116 Daley Tests oos sd et o Cei pee io ie arms bua sete vetu iatis lip Sareby best PEOCEQUEES ee bb HOE uut a aac a Ri 117 When 10 Peroni er ee Tace eae a aee Ba ord eee ae 118 low to Cary Our the arena b eie st DP hit ok e Dope soa 119 eye ca Oa Ae PETIT ral 120 W hacisa Medical Blesttical S Stem on d em 3435 p eed hee eee ooo ipe a Nude 120 General Requirements tora Sy o ure qo dw needed be sedere a ena ei eee And ada 120 Spite du M 121 Regalar Viaintendnce read wie edad ood eee seas doo drop 123 Mechanical MSG CUO aries eats ree Dts da T E MES a eet et Ge C Ge ee ae ee 123 Recorder Maintenant ouo scia eee ena C wd dcinde 123 123 eu ware 125 126 Maternal 126 ECG MI3644 Patent MOQGUIG ic stent sn neat UN Ua c 127 BCG MISOA Patient tdeo sab e 128 MBP Cait Om bash S S Ope OLEI LI LL LEER 131 este ie debate ien educ oia 132 Contents I0 lroubleshio0t HER hues 133
59. Section Calibration and reference circuits e System controlled test signal generation e Analog switches to apply reference voltages and test signals to the telemetry inputs m RS232 Socket Note If an OBMS board M1350 66532 is connected at the same time as the M1350 66536 the RS232 facility is switched off as default You can overwrite this setting See Chapter 5 Theory of Operation 107 OBMS Interface Board M1350 66532 Note 108 Board gt EUM ID Revision gt HRZ E Board Contral HR1 Mode Error System HR2 Mode_ Clock Digital status outputs System Circuit Bus 7 9 5422 95422 gt Receiver UART Transmitter pegblk32 tif Figure 8 12 OBMS Interface Board The OBMS Interface board sends heart rate TOCO mode and status information to systems such as M1370A 80225A 80235A and M1340A FTTS The status bit is set if an external test from an OBMS is requested The clock circuit divides the system clock The Board Control section interfaces the fast processor bus with the local board bus An LED is set if a hardware error is detected The analog voltages heart rate 1 heart rate 2 and TOCO are generated by a DAC which feeds three sample and hold buffers via a multiplexer The latch stores mode and sta
60. TMDinamap is a trademark of General Electric TMPress Mate is a trademark of the COLIN Corporation Federal Law US restricts this device to sale by or on the order of a physician Caution Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards O 1990 2004 Koninklijke Philips Electronics N V Rights Reserved Contents l atl Oto eee tuus 1 Wig OA CO Wise eet deh inim diede Lune divae 1 E ot As CC T T i TI LUSIT DTE 1 125 Suo EIER A ee eee 1 tases au de Od ue wt ditus ate ER Re dude eee a 1 Conventions Used in Dis QUIS etica uino oe ees 1 RE MR 2 Unpackine and Checkine the Shipment ceo iaces v 3o ebore prede uei 3 Initial Inspection pua de ated 3 Claims 65s oes i oe odie eho bd edis bain oua Edu ek cda Le 3 secca dies a 3 ACCESORIOS osse ore bu n euren me Ae ES euer ire p e a eet a 5 denti Siero REIP M M
61. Wrong transducer in Toco socket Connect correct transducer Err 4 Cardio 2 US MECG Combi transducer not allowed in this Only 1 x MECG and 1 x DECG are permitted in socket combination Remove transducer Err 6 Cardio 1 Wrong pairing of US MECG Combi transducer Remove one of the transducers MECG transducer and DECG transducer Cardio 2 Cardio 1 M1365A combined patient module being used to Measure FSpO and DECG measure FSpO and MECG Cardio 2 M1364A combined patient module being used to Measure MECG measure DECG Err 8 Cardio 1 Dual Ultrasound Twins option is not fitted Remove one of the transducers Cardio 2 Err 9 1 Invalid telemetry mode Check the cable from the telemetry receiver and if necessary T I replace it Err 14 Cardio 2 2 FHR transducers are being used with single FHR Remove one of the transducers option Invalid Ext parameter status on Tele IF Err 15 Cardio 1 2 FHR transducers are being used with single FHR Remove one of the transducers Cardio 2 option Invalid Ext parameter status on Tele IF Err 16 Cardio 1 Wrong pairing of telemetry and transducers Either disconnect the transducers or switch off the telemetry Toco receiver Cardio 2 Err 18 Use of paper designed for HP 8040 monitor Use correct paper for this monitor Err 19 Battery low or empty of charge Change the batteries as soon as possible If you do not change the batteries your specific settings will return to their default values whe
62. and lower parts of the display flash alternately for about 10 seconds The left half and the right sides of the LCD display flash light and dark alternately A test pattern is printed on the paper During the test the recorder paper speed is automatically set to 3cm min and a test pattern is printed onto the recorder paper 240 210 180 150 120 60 T 30 LL MEDS 100 DIL poem EFF 80 STA F ROMS 60 pH Oo 40 PULSE Toe TEMP 20 ec B P 2 REORDER M1910A Figure 9 1 Recorder Test Pattern The recorder ON OFF light blinks in time with the display Check the test pattern to ensure all the heating elements on the printer head are operational Ensure that more than 20 dots are missing over the entire print
63. and or hospital environment Voltage dips lt 5 0 Uy Mains power quality should be that of a typical short gt 95 dip in UT for 0 5 100 dip in for 0 5 commercial and or hospital environment If the interruptions cycles cycles user of the device requires continued operation and voltage 40 40 during power mains interruptions it is variations on 60 dip in Uz for 5 cycles 60 dip in UT for 5 cycles recommended that the device is powered from an power supply uninterruptible power supply input lines 70 70 IEC 61000 4 11 30 dip in Us for 25 cycles 30 dip in Us for 25 lt 5 Uy cycles gt 95 dip UT for 5 sec 0 100 dip in UT for 5 sec 234 Safety Table 14 7 Electromagnetic Immunity Immunity IEC 60601 1 2 Test Test Level Compliance Level Electromagnetic Environment Guidance Power 3 A m 3 A m Power frequency magnetic fields should be at the frequency 50 levels characteristic of a typical location in a 60 Hz typical commercial and or hospital environment magnetic field IEC 61000 4 8 In this table Uy is the a c mains voltage prior to application of the test level Finding Recommended Separation Distances In the following table P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Portable and mobile RF communications equipment sh
64. are upgrading the correct monitor and that it is working properly Options Requiring this Procedure 1 Check the monitor s serial number as described in the section on Instrument Identification on page 5 When you have upgraded the monitor remove the old serial number labels from the monitor and replace them with the new labels supplied in the upgrade pack 2 Ensure that the monitor you are about to upgrade works correctly Perform a Quick Test and a Parameter Test on the monitor These are detailed in Chapter 9 If the monitor does not successfully complete its service tests do not upgrade it Make appropriate arrangements for its repair It is more expensive in time and money to troubleshoot after an upgrade Instruction 2 Checking Current Configuration The first step in the upgrade process for all upgrade options is checking the current configuration You do this by printing the error log to provide you with a record of the current configuration After you have finished upgrading the monitor you will need this record to help you to restore the initial configuration See page 24 for instructions on printing the error log Options Requiring this Procedure Upgrades 71 Instruction 3 Removing Top Cover See Removing the Top Cover on page 167 for instructions Options Requiring this Procedure Instruction 4 Using the New Base Assembly When you upgrade a Philips Series 50 IX moni
65. comparator which checks for wave clipping A series of switched low pass filters is used to separate the four phases within each frame of the pulse train and compensate for the effects of ambient light and for noise rejection The Transducer As well as the connections to the transducer relating to the LEDs and photo diode two more wires are used to check the transducer itself These are connected to resistor R2 within the transducer and enable monitoring to show That the transducer is properly connected Transducer type LEDs The LEDs are driven by controlled current source Two demands must be met a LEDs must be lit in their correct sequence to produce the four phases of the pulse frame LEDs must be lit to an ideal intensity This is dependent upon the light absorption at the transducer site The grounded section of the maternal SpO board is completely digital It is essentially a dedicated microcomputer and amongst other tasks performs the following m Calculation of the maternal SpO saturation percentage Control of the user determined alarms Control of the NOP alarms Input is via the optocoupler shared with the floating section of the board The board has its own RAM as working area and its own EPROM holding the software 102 Theory of Operation External Blood
66. connect any devices that are not supported as part of a system Any non medical device placed and operated in the patient s vicinity must be powered via an approved separation device that ensures mechanical fixing of the powercords and covering of any unused power outlets Do not use additional AC mains extension cords or multiple portable socket outlets If a multiple portable socket outlet without a separation device is used the interruption of its protective earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage currents If the personal computer or any other non medical electrical device is situated outside the medically used room you must take measures to reduce leakage currents such as providing an additional protective earth a non conducting enclosure or a separation device We highly recommend to use a separation device whenever you connect non medical electrical equipment Safety Maintenance and Calibration 121 Safety Test 1 Protective Earth Test Safety Test 2 Enclosure Leakage Current Test Normal Condition NC Safety Test 3 Enclosure Leakage Current Test Single Fault Condition SFC Open Supply Safety Test 4 Enclosure Leakage Current Single Fault Condition Open Earth Ground Safety Test 5 Patient Leakage Current Test AC 122 Test to perform The protective earth test measures impedance of Protective Earth PE terminal
67. enter TIME FORMAT AM PM from the feature setting sheet To change from Day Month Year to Month Day Year format enter DATE FORMAT NORTH AMERICAN from the feature setting sheet To change from Month Day Year to Day Month Year format enter DATE FORMAT EUROPEAN from the feature setting sheet If the batteries are not changed when they become low or empty of charge the settings will return to their default values the date is set to 04 04 44 and the time is set to either 00 00 European Format or 12 00A US Format Setting Paper Speed and Scale Setting the Paper Speed 40 The paper speed can be 1 2 or 3 cm min The default for North America is 3 cm min the default for other countries is 2 cm min A change in paper speed will result in a change in the appearance of an FHR trace care must be taken to ensure ALL monitors in your institution are consistently set at the same speed The ACOG technical bulletin on FHR monitoring states that accurate pattern recognition is difficult if not impossible at 1 cm min and that 1 cm min is only recommended for more economic screening When FHR abnormalities arise the faster paper speeds will enhance FHR pattern recognition Use the Paper Speed Key to display the current paper speed and to return to the normal display You also return to the normal display automatically if you don t press any key for a few seconds When you return to the normal display the new paper speed is set and the
68. interface cable by the screws at the cable connectors System Interfaces SCHEMATIC WIRING TENIPS ENE MALE Z 5 SIG GND E 20 5 e PIN MALE _ 5 SIG GND M COM O __ zal SEED za nc nc nc TxD 2 85422 xD 1 489232 nc ground nc nc nc RxD 95232 RxD 1 RS422 TxD RS232 nc 59 External Device Baudrate Settings and Configurations Philips CMS Philips 26 24 Philips 78352C and Philips 78354C COLIN BP 8800 60 Baudrate Startbit Databits Stopbits Cable Port Baudrate Startbit Databits Stopbits Cable Baudrate Startbit Databits Stopbits Cable Port Baudrate Startbit Databits Stopbits Cable 9600 1 Parity None 8 TX RX High Low 1 Computer On M1350 61609 only Any port may be used but ensure the above settings are stored to the Philips CMS in configuration mode 9600 1 Parity None 8 TX RX High Low 1 Computer On M1353 61614 9600 Switches SW5 Open 1 SW6 Closed 8 Parity None 1 1350 61609 Only port sometimes referred to as port 2 can be used if the Philips 78352C or 78354C is configured to 9600 Baud 4800 1 8 Parity 1 Supplied by the COLIN Corporation Even System
69. of the above procedure Insert all four screws to center the closed display assembly before you tighten the screws Caution Ensure that you use the correct screws Exert a minimum of pressure when tightening the screws Excess force can damage the display assembly Exchanging 1 Remove the maternal display panel as described under Removing and Replacing the the Display Maternal Display Panel on page 180 Assembly There are two versions of the display housing one with an LCD display and one without Housing 2 a Ifyour display assembly contains an LCD display first remove this Remove the two screws on the right side of the rear of the LCD display assembly using a Phillips Screwdriver size 0 Zero and take out the LCD display DO NOT TOUCH THE LCD DISPLAY SCREEN Take out the LCD window glass and try to avoid fingerprints or dust dirt on it b Ifyour display assembly has no LCD display it contains a plastic blanking cover Remove this for later reuse 3 Remove the earth strap by removing the screw and nut Ensure that you retain the fixings including the washer for later reassembly 4 Remove the remaining screws from the frontend display switch board 5 Lift the edge of the display switch board pull the board forward at the same time making sure to free the switches from the housing and remove the board Take the new plastic display assembly and fit the LCD display board or blanking cover as appropriate
70. see page 167 Remove the ON OFF button by pulling it forwards You hear a click as the end of the buttons s extension arm comes forward one notch from the switch unit located in the power supply Release the end of the extension arm with the aid of a flat bladed screwdriver Turn the button arm 90 degrees counter clockwise then pull it straight out 4 Undo the four screws from the rear of the power supply assembly 5 Pull the power supply assembly out of the rear of the monitor psm20sca tif Figure 11 2 Removing the Power Supply Assembly 6 Ifyou are exchanging the power supply assembly remove the power supply board for later refitting to the new power supply assembly 168 Removal and Replacement Procedures Removing the 1 Remove the power supply assembly as described on page 168 Power Supply 5 Board Turn the power supply over and remove the two screws holding the board in place Ir 4 4 4 4 4 4 psm15sca tif 3 Remove the power supply board Figure 11 3 Removing the Power Supply Board Replacing the Replacement of the Power Supply board is a reversal of the above procedure Power Supply Board Replacing the 1 Ifyou are exchanging the power supply assembly first fit the power supply board to the new Power Supply power supply Assembly 2 Replacement of the power supply assembly is the reversal o
71. setting 27 time format setting 39 Toco parameter test 158 Toco transducer electrical check 125 recorder scale 48 specification 217 visual check 125 top cover removing 72 top cover removing 167 trace density 211 transducers 215 DECG M1364A 218 IUP 126 224 MECG M1365A 220 SpO2 126 Toco 217 ultrasound 215 US MECG combi 221 troubleshooting DECG parameter test flowchart 157 DECG transducer M1364A 218 external maternal parameters 162 frontend board output 141 internal maternal parameters 159 160 maternal SpO2 parameter test flowchart 159 160 MECG parameter test flowchart 157 MECG transducer M1365A 221 NIBP parameter test flowchart 161 noninvasive blood pressure warning messages 136 operator error messages 135 paper sensing flowchart 163 power supply board 141 recorder paper sensing flowchart 163 service error messages 138 SpO2 warning messages 137 system flowchart 133 Toco parameter test flowchart 158 ultrasound 216 ultrasound parameter test flowchart 156 US MECG combi transducer 222 troubleshooting flowcharts error 500 139 error 502 140 error 506 142 error 507 143 error 513 144 error 515 145 error 516 or 517 146 error 525 and 527 147 error 526 148 error 532 149 error 533 150 error 534 151 error 535 152 error 536 153 error 601 155 error 602 156 U ultrasound parameter test 156 ultrasound tran
72. that occurred while self testing MESSAGE Configuring the Monitor 33 Reading the Options This lists the options installed on the monitor Press any key to return to the Service Menu The options on your monitor may be different from those shown 34 Implemented Options Fetal Movement Profile External Twin Monitoring MESSAGE Press any KEY to continue Reading the Error This displays the error log See Chapter 10 for a list of error log messages Log gt PAGE 1 lt Errorlog of 2948G00010 Err Count lst Date Time last Date Time Code nnnn yy mm dd HH MM yy mm dd HH MM I Use gt W lt to Write ErrorLog Data to File gt ErrLog DAT lt use CursorKey Down or X to see next Page ENTER to leave The error log lists The monitor s serial number The error code and the number of times the error has occurred The date and time the error first occurred The date and time the error last occurred Up to 16 error messages can be displayed on a screen To see the next or previous screen use the s or t keys on the keypad or the E or X keys At the end of the Error Log No more Data Configuring the Monitor available is displayed Press SHIFT to print a page on Press to return to the Service Menu To write the error log data to a file press the W key The data is then stored as ERRLOG DAT in the directory containing PEGSERV EXE The data 15 stored as ASCII character
73. the monitor 1 e Remove screws 2 and 3 from the NIBP tubing board and gently ease the board forwards so you can access the NIBP board beneath 2 3 NIBP tubing board acti NIBP tubing NIBP Board p 1 f Lever the NIBP EPROM gently off the board using a flat bladed screwdriver and replace it with the upgrade EPROM NIBP Board g Replace the NIBP tubing board and tighten the screws h Reconnect the NIBP tubing that leads to the display panel i Upgrades Slide the NIBP board into the rear of the monitor and refasten the screws 81 Instruction 9 Reconfiguring the Monitor When you exchange EPROMs on the ROM board you must rewrite the new serial number and restore the original options configuration Twins FMP Fetal Alerting Options Requiring this Procedure 1 Ifyou have not yet done so print the error log see Printing and Clearing the Error Log on page 24 This will serve as a useful record of the current monitor configuration 2 Enter the new serial number from the serial number labels included in this upgrade kit This must be done using the service software see Writing the Serial Number on page 36 for instructions A serial number can be written only once to the exchanged board If you accidentally confirm an incorrect serial number you can reset it using an access code obtainable from your Philips Response Center 3 You will be prompted for the option configuration You can set all the o
74. the supply current of the transducer The modulated current is detected amplified and bandpass filtered 1 250 H2 The US transducer transmits 998 4 kHz ultrasound bursts which are generated by the FOCUS IC The burst widths are controlled by software The transmitter amplifier supplies 5 V at the Cardio sockets The repetition rate is 3 2 kHz The received 998 kHz signal is amplified by a high frequency amplifier with a gain of 120 and then split to provide a reference path a and a compare path b The two demodulators a and b are independently controlled by software in their receive windows by the FOCUS IC The demodulated signals are bandpass filtered 100 500 Hz and amplified by a software controlled gain of 180 to 1860 in eight steps The FMP LF path is independently demodulated bandpass filtered and amplified by a factor of 18 99 The pins of the TOCO IUP socket are electrically isolated connected by three transformers excitation sense and mode The excitation voltage is a 2 4 kHz square wave with an amplitude of 3 5 Vgms The frequency is generated in the control chip by dividing the 4 MHz system clock The sense input signal is amplified by 93 75 40H V V mmHg or 750 SUV V mmHg rectified with a synchronous detector and lowpass filtered with a cutoff frequency of 7 5 Hz All LF signals are multiplexed sampled at either 1600 or 800 Hz and A D converted with 12 bit resolution The marker cable and
75. tissue bone and venous blood The more heavily blood is oxygenated the brighter red it becomes Hence an algorithm comparing the conductivity of red and infra red light thereby measuring the color of the blood can also offer an indication of oxygen saturation The maternal SpO board is divided into two distinct areas floating and grounded These connected by two high voltage optocouplers for data transfer together with the power transformer for power transfer Floating Section The sampling of signals from the photo diode is in four discrete phases 1 Dark Phase Neither red nor infra red LEDs are lit Only ambient light is measured 2 Red Phase The red LED is lit and the light conductivity measured 3 Infra Red Phase The infra red LED is lit and conductivity measured 4 Pleth Phase Infra red LED is lit and conductivity measured Theory of Operation 101 Consecutive frames composed of these four phases are repeated 375 times per second Both the lighting of the LEDs and the sampling of the signal from the photo diode is sequenced by a time multiplexor governed by the microprocessor The function of the floating section of the board is twofold 1 To enable accurate reading of light conductivity by removing noise and compensating for ambient light in the pulse train 2 To drive the two LEDs The outstream from the photo diode is amplified by variable amplifier This is software controlled and monitored by
76. to L 0V Pins 2 3 and 4 Supplies for small peripheral instruments earth connections through pins 18 and 24 Maximum current allowed 100mA Pin 5 S1 Telemetry on L monitor goes to Telemetry Mode m Telemetry display field is lit Transducer must be removed from the front panel connectors If they are not removed Er F appears in the display above the transducer socket m Status bits pin 7 53 to pin 13 S9 and pin 25 S10 are activated through the connection to ground pins 18 to 24 and have function 1 Telemetry Pin 6 S2 must be High if not I LA appears in the display m Each transition of S1 starts a complete mode annotation at the recorder Pin 7 S3 DECG inop Pin 8 S4 DECG Mode Pin 9 S5 Reserved Mode Pin 10 S6 US Heart rate mode programming for Telemetry input signal Pin 11 S7 Not used with Telemetry Pin 12 S8 IUP Mode L Pin 13 S9 Toco Ext Mode L Toco mode programming Activated Toco mode will be displayed on the front panel System Interfaces External Parameter System Interfaces Pin 14 HR 1 Fetal Heart Rate INPUT Input signal depends upon the selected HR mode The table below gives details of the input signals for each of the HR modes Fetal Heart Rate Mode Input signal Pin 14 Ri gt 10 kQ Umax 3 5 Vpp min 35 mVpp Pin 15 TOCO DC INPUT Ri gt 10 kQ Input range 3 V to 2 V Sensitivity 1 V Full scale Pin 17
77. to all exposed metal parts of Instrument under Test IUT which are connected to the Protective Earth PE for safety reasons Normally it includes the wiring in the mains cable max 200 mOhm A test current of 25 Amps is applied for 5 to 10 seconds It is recommended to flex the main cable during the test to identify potential bad contact or damage to the earth wire Safety test according to IEC 60601 1 Clause 18 Report the highest value Test to perform The enclosure leakage current normal condition is applicable to Class 1 and 2 equipment type B BF and CF Applied Parts The test measures leakage current of exposed metal parts of the Instrument Under Test it tests normal and reversed polarity For Type BF and CF Applied Parts the test measures AP GND Safety Test according to IEC 60601 1 Clause 19 4g Report the highest value Test to perform The enclosure leakage current single fault condition open supply is applicable to Class 1 and 2 equipment type B BF and CF Applied Parts The test measures leakage current of exposed metal parts of Instrument Under Test with one supply lead interrupted it tests normal and reversed polarity For type BF and CF Applied Parts measures AP GND Safety Test according IEC 60601 1 Clause 19 4 Report the highest value Test to perform The enclosure leakage current single fault condition open earth ground is applicable to Class 1 equipment type B BF and CF Applied Parts
78. to simulate the action of the marker Press to start the permanent test The permanent test runs until you release the marker button Caution DO NOT perform this test while a patient is being monitored 116 Safety Maintenance and Calibration Safety Tests This section defines the test and inspection procedures applicable to the Series 50 XM and XMO Use the tables in the following section to determine what test and inspection results must be reported after an installation upgrade or repair has been carried out Test Blocks in Table 9 2 tells you when to carry out the safety tests Testand Inspection Matrix in Table 9 3 tells you how to carry out the safety tests Warning Safety test requirements are set acccording to international standards such as IEC EN 60601 1 and IEC 60601 1 1 their national deviations such as UL2601 1 CAN CSA C22 2 No 601 1 M90 and No 601 1 S1 94 and specific local requirements The safety tests detailed in this Service Guide are derived from international standards but may not be sufficient to meet local requirements Caution The correct and accurate functioning of the equipment is ensured by the successful completion of the safety tests performance test and the system test if applicable Safety Test The test procedures outlined in this section are to be used only for verifying the safe installation or Procedures service of the product in its place of use The safety tests desc
79. without the adapter cable M1362B or M1363A connected Result Cardio 1 Combi channel display must show NOP Note In the presence of strong fields 50 60Hz may disappear even without additional cabling 2 Connect the M1362B or M1363A adapter cable to the M1364A Patient Module With open connections i e no connection to electrode s on patient the fetal monitor s signal quality indicator should be red and either no numeric in the display or nop Note The position of the M1364A and the M1362B or M1363A cable relative to each other can influence the displayed result e g an antenna may be unintentionally created receiving spurious signals Testing DECG 1 Take an unused Fetal Scalp Electrode and connect it to the DECG adapter cable Mode 2 EITHER a Make a short between the spiral electrode and the reference electrode with your fingers it is best to wet your fingers first Caution Take care not to injure your fingers spiral Electrode Electrode Result NOP should disappear Safety Maintenance and Calibration 127 Testing ECG M1365A Patient Module 128 Visual Check OR b Cut off the plastic tip of the fetal scalp electrode containing the spiral and reference electrodes from the end of the wires Strip the insulation from the end of the wires and connect them to a patient simulator Note We do not recommend the use of a specific patient
80. 0 seconds 2cm min 20 seconds 3cm min Contact a Philips Service Engineer or Response Center if the speed is incorrect Error 602 3 Incorrect type of paper loaded Load with appropriate scale paper or change monitor s paper format setting 1 Displayed for ten seconds when the monitor is first switched on 2 Printed every 10 minutes 3 Printed every three pages LCD Display Warning Messages Table 10 1 Noninvasive Blood Pressure Warning Message A overpressure A artifacts cuff tubing A NBP error 136 Audible Situation ER oxi Indication Cuff pressure increases above Yes 330mmHg or remains above cannot be switched off 300mmHg for 2 sec Patient is moving Yes if alarming is on Inflation deflation takes too Yes 1f alarming is on long Tubing obstructed or hardware Yes if alarming is on problem Action Required Check to see if cuff is being pressed manually perhaps by patient movement and restart the measurement Cuff deflates automatically Restrain patient movement and restart the measurement Check that all tubes are connected properly not blocked leaking or defective Ensure that the correct cuff is being used Restart the measurement Check tubing Switch monitor off and try measurement again If problem persists call service personnel Troubleshooting Troubleshooting Table 10 2 Pulse Oximetry Paramet er Display Audible Indication Warning
81. 16 25 OPTIONS FMP UStwin Fet Alert DATE SW REV INSTR ID 95 09 15 C 01 00 M1350C 2445G35213 BOARDS Pos 00 515 ID 2 Pos 01 502 Pos 02 506 Pos 03 513 Pos 04 536 ID 2 Pos 05 Pos 06 Pos 07 507 Pos 08 Pos 09 Pos 10 540 Pos 11 SERVICE SETTINGS Col 01 C02 01 C03 00 C04 00 C05 00 C06 02 C07 03 C08 00 C09 01 C010 02 C011 01 C012 02 C013 00 C014 00 C016 01 C017 00 C018 01 C019 00 C20 00 FSP02 SW REV NPB FMHP 5 0 1 NPB FSPO2 ERRORS 540 0002 98 09 14 11 27 98 09 14 16 53 Configuring the Monitor 25 26 The error log is divided into seven sections that contain the following information Section 1 1 The error code For example 506 2 The number of times the error has occurred For example 0005 note that the error counter uses hexadecimal notation 3 The date and time the error first occurred For example 98 09 14 11 27 4 The date and time the error last occurred For example 98 09 14 16 23 The remaining lines in section 1 1f any beneath the factory information code FIC are not errors Take no action Section 2 All built in options in the fetal monitor are written For example Fet Alert indicates fetal alerting Section 3 This shows information about the monitor itself DATE SW REV INSTR ID Current date Software revision Product number and monitor serial number 1 This is taken from the monitor s internal clock Section 4 Th
82. 20 ie Mae In inb Eee Sarda 182 SpO gt Cableand NIBP Connector Tubing abbr LES Pp Ee ee ees 183 ErontPanelxssembbyc uox eese tei Ucet oa oa he he ae eee hw v DR dida iios oar ee aes 184 SWILCIE s quai qe du ee aya ee ode See au Ces 185 185 FUNCTION Switches Baii oos est hel AS ena id ead ed OR abu d Saye nud Madras 185 IE itp EST shiner ohh enemies die NEAN RD 185 12 P APCS ih opens be AR HUI OR DOS 187 2 uc Pet ed acude eS 187 Ordonne waaay Sid ba Ces iced De aa ey aedi ware ep sonas 187 Replacement DOES a noted Set as eds Hee eae aoe a o see Ld iu EE 188 13 Recorder Assembly and Disassembly 197 ROCCO Ose iod eden bea ee Groeten cane ema pris ie gedaan depen 197 TOO c ECTETUR P ee aes 198 Replacine Speciticliemis urbt eset ip etate diede ara dde eee seemed e OS 200 thermal Line Pruner cadd dpt ates noe epic bos re telo d donor edic ie roa redo 200 FoK TID C E rn 201 etr edo sot Mato cra istnd ox v Rr e eer a ns Med ar ga Satur 202 Printer Assembly osi
83. 225 testing 127 128 Patient safety 229 PC based configurating 27 performance assurance checks display 114 quick test 114 recorder 114 performance assurance tests 112 performance plus package 7 permanent test 116 pin connections Combined Telemetry Digital System Interface 52 Dual serial interface 58 systems interface 54 Telemetry interface 52 power source 15 power supply board error 502 flowchart 140 board fuses 170 board output voltage 141 board removing 168 functional description 92 removing 168 reusing 72 pre installation checks 15 print density 211 protective earth 232 protective earth test 122 Q quick installation checks display 65 recorder 65 quick test 6 R reading the error log 34 recorder adjusting 32 paper sensing troubleshooting flowchart 163 paperfeed error 601 155 preparation 24 quick installation check 65 reusing 74 scale 48 settings 211 specifications 246 recorder assembly and disassembly 197 component names diagram 199 eject mechanism and base assembly 205 motor 203 208 motor and side plates diagram 203 paper box 210 paper eject mechanism and base assembly 206 paper table 202 paper tray 202 printer table and thermal line printer as sembly diagram 201 recorder assembly removal 174 recorder settings 211 replaceable parts 212 side plates 203 side plates and platten 206 thermal line assembly 208 thermal line printer 202 thermal line
84. 273531 ME Transducers Toco Transducer complete 2 5m 8ft M1355 6001 1 453563277131 M1355 69011 453563277171 1 2in cable Toco Transducer complete 70 cm M1355 60013 453563277141 M1355 69013 453563277181 1 28in cable US Transducer complete 2 5m 8ft 2in M1356 60011 453563277241 M1356 69011 453563277271 cable US Transducer complete 70 cm 28in M1356 60013 453563277281 M1356 69013 453563277281 cable US MECG Combi Transducer US M1358 60011 453563277331 M1358 69011 453563277351 US MECG Combi Transducer MECG M1358 60002 453563277321 rr i Patient Modules and cables FSpO ECG Combined Patient Module M1365 60001 453563277491 M1365 69001 453563277501 DECG Patient Module 2 5m 8ft 2in M1364 60001 453563277411 M1364 69001 453563277471 1 cable DECG Patient Module 70 cm 28in M1364 60003 453563277421 cable MECG cable M1363A 989803103561 DECG Legplate adapter cable M1362B 989803103551 DECG adapter M1347A 989803103401 1 Where x changes with the latest software revision See the CPL for the latest revision For upgrading order M1360B C option 501 to receive the latest software together with the appropriate documentation Parts Lists 189 Table 12 3 Display Assembly Parameters Qty Old Identifier New Identifier M1350B Fetal with maternal M1350 69201 453563273571 M1350B Fetal only M1350 69203 453563273581 M1350C Fetal with F5pO M1350 69206 453563273601 M1350C Feta
85. 33 Electromagnetic Emissions Table 14 6 Electromagnetic Emissions Radio Frequency RF emissions in accordance with CISPR 11 RF emissions in accordance with CISPR 11 Harmonic emissions IEC 61000 3 2 Voltage fluctuations and flicker IEC 61000 3 3 Electromagnetic Immunity The M1350B C referred to in the following sections as the device is suitable for use in the specified electromagnetic environment The user must ensure that it is used in the appropriate environment as described below Table 14 7 Electromagnetic Immunity Immunity IEC 60601 1 2 Test Test Level Compliance Level Electromagnetic Environment Guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile discharge ESD 8kV air 2kV air If floors are covered with synthetic material the IEC 61000 4 2 relative humidity should be at least 30 Electrical fast 2 kV for power supply lines 0 5 kV for power supply Mains power quality should be that of a typical transient burst 240 V lines 240 V AC commercial and or hospital environment IEC 61000 4 4 2 kV for power supply lines 0 4 kV for power supply 100 V AC lines 100 V AC 1 kV for input output lines input output lines not tested as these are less than 3m in length Surge 1 kV differential mode t 1 kV differential mode Mains power quality should be that of a typical IEC 61000 4 5 2 kV common mode 2 kV common mode commercial
86. 4 EPROMs Analog digital interface board The following table gives you an overview of what is involved in each upgrade option All Cxx upgrades include a mandatory CPU firmware upgrade for the ROM board upgrade and test the monitor use original base assembly fit new display connect NIBP and SpO and fit both boards upgrade ROM board with new CPU firmware configure and test monitor transfer original cover recorder power supply and ROM board to new base assembly upgrade ROM board with new CPU firmware configure and test monitor use original base assembly fit new display connect NIBP and SpO and fit both boards upgrade ROM board with new CPU firmware configure and test monitor transfer original cover recorder power supply and ROM board to new base assembly upgrade ROM board with new CPU firmware configure and test monitor use original base assembly fit display assembly Fit FS5pO board upgrade ROM board with new CPU firmware configure and test monitor transfer original cover recorder power supply and ROM board to new base assembly upgrade ROM board with new CPU firmware configure and test monitor use original base assembly fit FSpO board fit new display upgrade ROM board with new CPU firmware configure and test monitor use original base assembly connect NIBP and SpO and fit boards fit FSpO board fit new display upgrade ROM board with new CPU firmware configure and t
87. 58 Figure 10 26 Troubleshooting Maternal SpO Parameter Test 159 Figure 10 27 Troubleshooting Fetal SpO Parameter Test _ 160 Figure 10 28 Troubleshooting NIBP Parameter Test 161 Figure 10 29 Troubleshooting External Maternal Parameters _ 162 Figure 10 30 Troubleshooting Recorder Paper Sensing 163 Pipars 11 Removing the Top Cover exi M LXI geri ed 167 Figure 11 2 Removing the Power Supply Assembly 168 Figure 11 3 Removing the Power Supply Board he eR Pee 169 Figure 11 4 Output Voltage from Power Supply Board 170 Figure liS Replacing a Bodd aramis pU Pe Reb oi WR PRI PHP 171 Fiore 11 6 the Backplane asc2otuyeeiaidaked dd bes uacua teal ghd ae diets 172 Figure the Batteries uid suem EU do aote ded tk ee ees 173 Figure 11 8 Removing the Recorder Assembly 174 Figure 1129 SRemovine Frontend Boatd ks icveo stants DN 176 Pioure 11 10 Removine the Display Assembly g2cha0 woe sedia abicere 181 Figure 11 11 Removing the SpO Cable and NIBP Connector Tubing 183 Figure 11 12 Removing the Front Pa
88. 63023771 OJ 0 M1350 60102 Complete Chassis Assembly 453563272891 31 Backplane Mounting Screws M3 x 4 0515 1508P 3 453563024121 Boards Parts Lists 453563273341 1 453563273121 1 453563273671 1 453563273641 1 4535632736231 1 453563273681 1 453563273701 453563273721 1 453563273711 1 453563273331 1 453563273291 453563273301 1 A 453563273131 453563023841 2 453563272331 1 453563023841 4 UJ Table 12 5 Part Numbers Part Number Description Qty Old Identifier New Identifier 9100 4810 gt Transformer 453563202341 0515 2125 A Mounting Screws Transformer M3 5 x 55 453563023971 0340 0458 4 Insulator Transformer 451261001561 Primary Line Assembly M1350 61605 1 453563273021 4 Inlet Cover M1350 44101 1 453563272691 Heat Sink Power Supply M1350 21104 1 453563272521 Mounting Screw Transformer Earth Lead M3 x 4 0515 1508 1 453563024121 Washer Transformer Earth Lead 2190 0921 1 453563077231 6 Power Supply Assembly complete exchange part M1350 68501 451261005011 6 1350 69501 451261005021 1 Power Supply Assembly complete new part Front Input Connectors 60 62 Cardio red Input Connector 1252 3461 1 453563050771 6 Toco brown Input Connector 1252 3462 1 453563050781 SpO Cable Assembly M1350 61610 1 453563273061 M1350 60007
89. 80721 3 Springs TLP Head M1350 29151 453563272581 2 Front Assembly 26 27 N 12 Recorder Assembly and Disassembly Table 13 1 Replaceable Parts TM jig Description Old Identifier Tam Sepper Moor ea To a e Base Plate Assembly meee Me der 9 Lorem o eem E D esme OOO ene Bamas mam sens e exmma Paper Tray ree s D eseme Ime 0 0 mmm Deme 3 7 mese 0 memi Recorder Assembly and Disassembly 21 aN aN aN eJ sire Al A AJ ud Table 13 1 Replaceable Parts jenes jog Description Old Identifier Terram c o pwweecmee uer meus p snm 1 Ho meme oen Flex Layer Paper take up tray not shown 214 Recorder Assembly and Disassembly 14 Transducers and Patient Modules Introduction This section deals with troubleshooting specifications dismantling and assembly and parts listing of the transducers used on the monitor The Blue transducers can only be immersed in water while monitoring when they are used with the Philips Series 50 T Telemetry System The telemetry transmitt
90. C 78354C Compact Configurable Monitor CCM Nellcor OxiFirst Fetal Oxygen Saturation No No No No Yes monitor N 400 1 MHR measurement is provided in conjunction with maternal NIBP or SpO monitoring System Interfaces 55 2 Only if this parameter is installed on the external device Measurement Priority Measurements made by internal maternal parameters SpO NIPB and MHR take precedence above the same measurements made by an externally connected device The MHR measurement obtained from the SPO measurement has higher priority than the MHR obtained from the NIBP measurement Connecting External Devices The supported external devices are connected to the monitor via the Dual Serial interface at the rear of the monitor External devices connected to socket 1 that can monitor SpO have priority over the Nellcor OxiFirst Oxygen Saturation monitor N 200 Warning Before connecting an external device to the monitor connect the equipotential grounding point 3 to earth potential Use the grounding cable supplied with the monitor The power cord of the external device must be plugged into a wall mounted power outlet not into an extension block The Dual Serial Interface has two sockets see Figure 5 1 1 Use socket 1 9 pin for connecting Philips M1165A 1166A 1175A 1176A CMS all models Philips 78352C 78354C Compact Configurable Monitor Dinamap 1846 8100 NIBP Monitor COLIN Press Mate Nippon C
91. Cable M1362A or Patient Auxiliary Current lt 0 1 dc Wea Dielectric strength 1500Vrms spark gap protected Input Impedance gt 1OMQ CMRR with patient cable 51 5kQ 0 047WF imbalance at line frequency gt 110dB Noise referred to input with 25kQ lt 4uVp Contact Potential Difference 500mV Input Voltage Range 20UVp to 3mVp M1364A M1365A Patient Leakage Current 120V at 60Hz 10UA rms With MECG Cable M1363A Patient Auxiliary Current lt 0 1uA dc Dielectric strength 1500Vrms spark gap protected Input Impedance gt 1OMQ CMRR with patient cable 51 5kQ 0 047uUF imbalance at line frequency gt 80dB Noise referred to input with 25kQ lt 4uVp Contact Potential Difference 500mV Input Voltage Range 80 to 4mVp Parts List Table 14 5 DECG MECG Patient Module Parts List New Qty ber Old New Identifier Identifier identifier 0 pewsess 1 Troubleshooting Description Old Identifier The only functional checks that can be carried out on the patient modules and cables are those Transducers and Patient Modules 227 outlined in Chapter 9 Safety Maintenance and Calibration 228 Transducers and Patient Modules Safety General Safety Information The monitor is designed to comply with the general safety standard IEC 60601 1 EN 60601 1 its national deviations such as UL 2601 1 and CSA C22 2 No 601 1 M90 collateral standards such as th
92. Configuring the Monitor 4 Getting Started Basic Considerations and Operation Setting the Time and Date You can view and change the time the date and the paper speed using the following keys 6 Snap Figure 4 1 Setting the Time and Date Clock key displays the time 1 Paper speed displays the paper speed 2 Volume keys change the time date and paper speed 3 To set the time and date 1 Press and release to display the current time The Cardio 1 Combi display flashes to show that the hour can be changed 2 Press 7 or to set the hour Press and hold the keys to change the setting more quickly 3 Press and release and the Toco display flashes to show that the minutes can be changed 4 Press um Of to set the minutes Repeat the procedure To set the month in North America or the day in other countries e To set the day in North America or the month in other countries To set the year 6 Press and release to return to the normal display You can also change the format of the time and date using the optional Barcode Reader and the feature setting barcodes supplied with it Getting Started Basic Considerations and Operation 39 Changing the Time Format To change from 12 hour to 24 hour format enter TIME FORMAT 24H MILITARY from the feature setting sheet To change from 24 hour to 12 hour format
93. Control Gain Control HR2 LF Error LED 4 Es inputs Gain Control TOCO a Ext Par Clock Circuit Gain Control ADC Control Circuit Selftest Circuits Figure 8 11 Telemetry System Interface The Telemetry Interface board processes analog input signals from Philips telemetry systems for example the M1310A Alternatively an external analog parameter can be input to be recorded by the fetal maternal monitor The board contains an analog signal filter section an analog to digital conversion section digital clock and control circuits and a section for calibration and self test The features of the Telemetry Interface board are m Analog Signal Filter Section An analog input for FHR US LF or DECG with low pass filter and variable gain amplifier An analog input for maternal heart rate MECG with low pass filter and variable gain amplifier An analog input for TOCO IUP with low pass filter An analog input for an external parameter with low pass filter and variable gain amplifier m Analog to Digital Conversion Section A 12 bit digital to analog converter with build in voltage reference An ADEMUX conversion controller chip An analog four channel input multiplexer A sample and hold circuit A precision comparator m Digital Clock and Control Sections Board ID latch Status input lines Control latch Bus control and clock circuits Theory of Operation m Calibration and Self Test
94. ECO US ini Toco ext DECO 45 1 kPa mmHg 466 FMP 98 e 34 E 1 Cardia 2 Comb 4 2 F CO B 7 Switch the monitor off and then on it will perform the power on self test If an error message is displayed contact Philips Perform performance assurance tests as described in Chapter 9 Repeat steps 1 to 7 for each monitor to be upgraded When the upgrade key has performed as many upgrades as it was programmed to perform return it to Philips for recycling Please contact your nearest Philips Response Center for details Upgrades Instruction 11 Test Inspection and Safety Procedures Whenever you upgrade a monitor there are some tests you must run before the upgrade is complete Exactly which tests you must perform depend on the upgrade you are performing Options Requiring this Procedure Test C01 C02 C04 C30 C31 C32 C33 C34 C35 501 J10 J12 J13 1 Instrument Safety Test see page 120 2 Parameter Test see page 112 3 Quick Test see page 114 4 System Test see page 120 1 Perform parameter test with both Cardiol and Cardio2 connected 2 Plug in US transducer to either socket Press Function key and check if FMP can be enabled Upgrades 85 86 Upgrades 8 Theory of Operation Introduction This chapter contains an overview of the syste
95. Gee ud ee 166 Uo xr T 166 Reniovihe the Pop Cover ratene Ede eoe RE eS De aod teet Ls ts tas e bo efie a 167 du ti Metam 168 Removing the Power Supply ASsermbly ue s Sede Set od aid oe 168 Remo vine the Power Supply Doatddos seda ee ha eb bates ata 169 Replacing the Powersupply Doatd eae deep Usa dE ue Mae ud er 169 Replacing the Power Supply assembly vut wd bes eu aded tegat fate 169 USCS acte dcr xod ate avast quide pud Seva aus be onda Sul qune cedes 170 un Mer tt 171 Contents Backo kne Les bee EY Pete oes See 72 Ed cr ate Aged as ni AN sent eden oils 173 Recorder vine Uva at hain a mU 174 ate ee ee Dee 176 Replacement or Frontend Beard odi Ge dio Gto x inea deine vee bes 177 ie e Gerran a to ded ete aS Eee ae Es d 178 ee COPI dtc da Ido OS 180 Removing and Replacing the Maternal Display 1 8 8 180 Exchanging the DisplayvAssembly HOUSE 22 00 42
96. IF Configuration 23 Table 3 4 Service Setting C10 0 DIP Switch Settings on the DSIF 23 serine Cl ODBODS cutee ete tees Geese eos 24 Hable 3 6 Example EHORLOP uox RE PER eee es DAN exei 25 Tables Paper Available pcs ed oe oy d eed o e etti oes 41 Tables belemery Interlace Pru Conneccion crece qct 47 Table 5 2 System Interface Pin Connections io soto Beda edet be v a be pieces ee ees 54 Table Output Voltage Values uxo usc tet ete ek E ue Ip eee EUR CES 55 gave dacs wheat siue amd on fen Wace dde Ea 58 Tables 22 PD GOoniectOboes soon RAO UE DING CEDE DD I EQ M ha 58 Table 5 6 External Maternal Measurement 62 able sel bos ue dai ed MAI etui eee do UU ies 113 Table 9 2 M1350A B C When to perform safety test blocks 118 Table9 3 M1350A B C Test and Inspection 119 Mable 0s Noninvasive Blood Pressure icm er dacs ane he Cb EP PRU Im ES Por IU DEAS 136 Table 10 7 Pulse Iba eS Pa xe Eat eda us e x eb 137 Table 0 3 Service Enor ous qe E 138
97. LEDs on the two boards are extinguished If either board fails its test the LED is left on and the appropriate error code is displayed The current limits of the outputs of the PSU board are then checked If any are out of limits the board s error code is displayed This error doesn t necessarily mean that the PSU board is faulty For example a short on the system bus or one of the other cards could be drawing too much current If the PSU board passes its checks the CPU board takes away the reset to the other boards which leaves the LEDs lit The boards are tested in the order shown below The DIF Board The MUX and AD sections of the Frontend Board The Telemetry Interface Board The OBMS Interface Board NIBP Interface Board SpO Interface Board m FSpO Interface Board m Any other interface board The DSPII Board m LCD Board LED Board m FE Board If any board fails its test its LED stays lit and the error code is displayed The CPU board boots a test program from the ROM board to the DSPII program RAM and the Theory of Operation Operational Checks DSPII board runs it The program tests the DSP CPU 68000 and its associated components and writes the results to the DSP CPU 68000 RAM The CPU board reads the RAM to find out the exit status of the tests If it fails the tests the LED stays lit and the error code is displayed If it passes the tests the CPU board boots a start up program from the
98. Message SpO no pulse Yes 1f alarming is on A SpO low signal Normal display A SpO light interference A SpO artifacts Possible Cause Transducer or adapter cable disconnected Pulsation too weak or no pulsation detectable Transducer incorrectly positioned Patient wearing colored nail polish Weak signal SpO less accurate Wrong transducer selected Transducer incorrectly applied Photodetector not opposite light emitter Patient wearing colored nail polish A light source is so high that the SpO transducer cannot measure SpO or HR Irregular pulse patterns detected possibly arising from patient movement What to Do Connect transducer or cable Check patient s pulse Reposition transducer Ensure transducer is not on same limb as NIBP cuff Remove nail polish Reposition transducer or try a different site Use correct transducer Reapply transducer Reposition transducer Remove nail polish Remove strong light source or cover transducer with opaque material Restrain patient 137 Service Errors If one of these service error message appears on the display consult the appropriate page in this manual for the procedure you should follow Table 10 3 Service Error Messages Error Message Error Location Nor known ose CPU Board marin 138 Troubleshooting 500 General Failure Troubleshooting Warning Th
99. N 400 monitor Wrong setting of C10 No FSpO transducer plugged in Wrong C10 setting Check DIP switches see page 58 Change C10 setting Connect transducer Change C10 gt 10 63 Philips CMS and Philips 26 24 Series No maternal measurements are printed on the trace No MHR measurement is printed on the trace No maternal temperature is printed on the trace Mat HR 0 and Mat SpO 0 values are printed on the trace 64 The parameters are switched off Incorrect interface cable Incorrect Philips CMS software revision Other RS232 external devices are blocking the communication to the Fetal Monitor Incorrect configuration of the RS232 port Incorrect parameter source TEMP1 is not labeled T1 Temperature sensor is not connected to module TEMP1 The Nellcor and the Philips CMS are connected in parallel and the Nellcor front power supply switch is in the off position and the rear power supply switch is in the on position Switch on the parameters in the Parameters On Off menu See the Operating Guide supplied with the Component Monitoring System Ensure the interface cable M1350 61609 is used This number is printed on both ends of the cable Ensure the Philips CMS has Revision C or higher software Disconnect all other RS232 external devices except the fetal monitor from the Philips CMS and turn the power supply switch for the Philips CMS off Wait at least 10 second
100. O Qum Ne lt lt Se 79x TLP assembly spring q i Platen cand 98 Paper box eject lever idler cog Drive cog 0 n Vo a j lt SS Base plate Left paper eject lever oa Figure 13 1 Component Names Recorder Assembly and Disassembly 199 Replacing Specific Items Thermal Line Printer Head pegsms06 tif Figure 13 2 Replacing the Thermal Line Printer Head It is not necessary to disassemble the recorder to replace the Thermal Line Printer TLP head Pull the front assembly forward as though you were changing the paper Remove the two screws and ESD earth straps 6 Remove the two screws 7 and the ESD shield 8 Slide the TLP Head forward Slide the new TLP Head into position Place the ESD shield 8 in position and loosely attach screws 7 ou dew ose dec Loosely attach the ESD earth straps with screws 6 Push the TLP Head as far back as it will go then as far to the right as it will go right is the side with the paper eject levers See the following figure OF ES pegtlp2 hpg 8 Hold it in position and tighten the screws 200 Recorder Assembly and Disassembly Full Disassembly 10a X Figure 13 3 Paper Table and Thermal Line Printer Assembly
101. Obstetrical Care 23 96 106 _ jm _ mit min EI SERVICE GUIDE Series 50 XM M1350B Series 50 XMO M1350C Fetal Maternal Monitors FETAL MONITORING PHILIPS Printed in Germany 10 04 Part Number M1350 9000U 4512 610 04671 PHILIPS Series 50 Fetal Monitors Series 50 XM M1350B Series 50 M1350C SERVICE GUIDE M1350 9000U Printed in Germany October 2004 PHILIPS Notice Philips makes no warranty of any kind with regard to this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose Philips Medical Systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this material This document contains proprietary information that is protected by copyright All rights are reserved No part of this document may be photocopied reproduced or translated to another language without prior written consent of Philips Medical Systems The information contained in this document is subject to change without notice Philips assumes no responsibility for the use or reliability of its software on equipment that is not furnished by Philips Purchase of this instrument confers no express or implied license under any Nellcor patent or copyright to use this instrument with any fetal oximetry sensor that is not manufactured or licensed by Nellcor
102. Table 10 4 Power Supply Board Output from Connector 142 ID del rH rrr 170 falsone n river PVP Pr t Eua Ipso Eve 187 Table l2 2 Replacement Parts listers ate ee RT E NI ETAT cee ee Rae ees EE 188 Jable 12 5 Display uoti eir GUY aon ac UN p Set deua 190 Table 12 4 Replacement Parts Transducer Cable Assemblies 190 Tibera dro tv tate iA dne ego euer eee Anes 192 PASS XU bebe d ada SO ERO EE AE Dod ie e us 212 Table PEF Cable Gomnec tons ore eee okie ee pite n e E 219 Jable 14 7 Cable C oHDecollS Saha A id do reto Gal P doe BS eS S 221 Table 14 3 WS MECG Transducer Cable Connections de PESOS 223 Table 14 4 US MECG Combi Transducer Paris bist 260s v a REL RE Ps 223 Table 14 5 DECG MECG Patient Module Parts List 154a Rr RR EUR mes 227 Table 146 Electromagnene Emissions doe e Fb des sae s Rh ge ee E US 234 Table IMMUN osos eo oda e etude bgt eee te et 234 Table 148 Conducted RF Immunity pto 2 DITE E HOLT RC PST 236 Table 14 9 Radiated RE Immun s a3 sve RV n REUS SS Hee POMS tae PIS ORE 291 Table SepAFAUOD
103. Use 1 1 1 1 language as appropriate for your country Quick Reference Guide 1 1 1 1 language as appropriate for your country Service Guide CD ROM English only Error Reference Card Error Reference Card English only only Sensor Placement Guide a Sensor Placement Guide for FSpO3 Pocket Guide to Fetal Monitoring ae aera supplied with English shipments 4 General Information Optional In addition to the items mentioned in the previous table the following are delivered when the Accessories appropriate option has been ordered Table 1 2 Optional Accessories Description Quantity Re Ordering Number IUP Pressure Transducer including CPJ840J5 Transducer Holder 84022 IUP Sensor Tip Pressure Catheters 1boxof10 M1333A disposable 1 Adapter Cable for disposable IUP M1334A M1350 68730 M1350 66533 Barcode Reader plus Barcode 1 Booklet 1 1 Cable Serial M1350 61609 for external devices OBMS ODIS System Interface Board 1 M1350 66532 inc RS422 Dual Serial Interface Board Instrument Identification Philips uses a two section serial number CXXXXGOOOOO for instrument identification This is located on labels attached to the monitor One label is on the right side of the monitor the other label is identical and attached to the base of the monitor The first four digits are the Serial Prefix Number and identify the modification standard of the instrument The last fi
104. ables loudspeaker cable 1 power LED connector 2 recorder switch board connector 3 recorder sensing board connector 5 Unlock the flex layer connector by pulling it slightly forwards 75 UNLOCK CONNECTOR REMOVE FLEX e recorder stepper motor 6 frontend board connector 7 backplane flat cable 13 2 Disconnect the recorder print head 4 from the recorder assembly Remove the two screws 8 and 11 that hold the board in place 4 Slide the digital interface DIF board towards the rear of the monitor before lifting the board up to give the marker connector a chance 5 Remove the label from the front end connector area Score carefully around the connectors in the area with a flat bladed knife Do not allow any adhesive to remain on the front panel C Removing See Display Assembly on page 180 for instructions on how to remove the maternal display panel the Maternal Display Panel Next Step If your upgrade is Option C03 C30 or C35 go to Adding SpO2 and NIBP Capability on page 77 If your upgrade is Option C32 or C34 now go to Adding an FSpO2 Board on page 79 76 Upgrades Instruction 6 Adding SpO and NIBP Capability This adds maternal pulse oximetry and blood pressure measurement capability Options Requiring this Procedure gt pOv NIBP matcable hpg 1 Remove the two plastic
105. and washer 24 4 Slide the front assembly off the rod Left Side Plate See Figure 13 4 1 Remove the screw and rubber stop 36a and 36b from the left side plate for ease of working 2 Remove the screw and spring adapter 22b from the left side plate the shaft 42 can now be removed Be careful of washer 24a Remove screws 26 and 27 from the left side plate Put the left side plate face down on the bench and slide the black extrusion 28 away from it 5 Remove the platen 29 and the left platen spacer 30 Be careful of platen washer 31 204 Recorder Assembly and Disassembly Eject Mechanism and Base Assembly 39 38b 38a Figure 13 5 Eject Mechanism and Base Assembly See Figure 13 5 Disconnect spring 16 from the eject lever Remove the screw and washer 38a and 38b from the end of the paper eject rod Remove the left eject lever 39 Slide out rod 40 Only perform this step if the right eject lever is damaged and has to be replaced E cer EDS DM Remove the right paper eject lever 41 by carefully levering the built in clip Be careful the clip is fragile and may break 6 Only perform this step if it is necessary Remove the three base plate screws 43 The screws have rubber retaining O rings not shown take care when removing the screws Recorder Assembly and Disassembly 205 Full Re assembly Paper Eject Mechanism and Base Assembly Left Side Plate and Platen 206 See Figure 13 5 1
106. assurance checks self test parameter test quick test m Safety tests safety test blocks instrument safety test system test wm Service tests cyclic test permanent test Accessory testing transducer checks patient module checks Caution Failure on the part of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards Recommended Frequency of Testing Perform the procedures as indicated in the suggested testing timetable These timetable recommendations do not supercede local requirements Suggested Testing Timetable Performance Assurance Once a year or as specified by local laws and after see page 112 repair where the power supply is removed replaced Safety see page 117 NIBP Performance Assurance Once a year see page 115 Regular Preventive Maintenance Once a year or after repair see page 123 Safety Maintenance and Calibration 111 Cleaning the Monitor Keep the outside surfaces of the monitor clean and free of dust and dirt Use soap and water or Ethanol 70 Do not pour liquid on the monitor or allow any to enter the monitor case Although the monitor is chemically resistant to most common hospital cleaners and non caustic detergents alternative cleaners are not recommended and may stain the monitor Take extra care when cleaning the display surfaces these are more sens
107. ater than 15 mmHg 3 An overpressure system with a limit of 330 mmHg maximum or 300 mmHg for 2 seconds The NIBP board contains its own RAM as working area and ROM containing the software and a microprocessor supervised additionally by a watchdog timer Theory of Operation Fetal Oxygen An Intel 80C186 CPU in the PLCC68 package performs the fetal processing It runs with a Saturation 20MHz clock Beside the ROM and normal RAM there is a 1 kByte Dual Port RAM for the AS Board communication with the M1350C main processor a Motorola 68HC000 66540 The communication time frame is 17 5 msec a multiple of 2 5 msec the main tick of the M1350C operating system The following diagram shows the functional blocks of the fetal 5 processing board clock gen 20 MHz clock erator Board ID CPU Intel 80C186 5 8 PLCC 68 5 ddress 10 Y address contro F Control 4 5 Register 3 Dual ds 256 kbyte is 2 x 32 kByte 2 x 128 kByte RAM SO 28 DIL 32 8 P 12V P 5V P 12 3V backup battery voltage Figure 8 10 Fetal SpO Board Theory of Operation 105 Telemetry System Interface M1350 66536 106 System Bus pegblk31 tif Board ID Revision Digital Tele Ext Par Status edes HRILF 4 Board
108. ay can be between 0 and 127 units If the test fails repeat using another transducer If it still fails refer to Chapter 10 Troubleshooting After the test you must zero the system by pressing the Toco Baseline Key IUP Transducer Visual Check Ensure there are no cracks in the transducer or its accessories that the cable is not cracked or broken and there are no cracks on the connector plug Electrical Check 1 Connect the transducer to the Toco socket Ensure that e the display shows 0 e when the recorder is switched on the date time mode and paper speed are printed the recorder trace Choose one of the tests below according to which IUP transducer you are testing e f your IUP transducer has a zero button built into the adapter cable itself press this to intentionally short circuit the cable The monitor display should read 3mmHG while you press the button This indicates that the monitor and leads are working properly If your transducer has no zero button press and hold Ensure that the display and recorder trace alternate between 10 and 60 units for periods of 2 seconds for as long as the key is pressed The IUP display is limited to 127 99 Gently apply pressure to the transducer diaphragm by pressing the syringe plunger and look for an increase on the display and recorder If the test results are not as outlined above try another transducer If this does not sol
109. bly onto the pins at the rear of the base plate The assembly must be rotated slightly to get the right bracket over its pin Recorder Assembly and Disassembly 209 1 Position the paper eject lever so that the hole locates over the mounting pin the lever will protrude from the paper box at 90 degrees to it 2 Rotate the lever clockwise through 90 degrees lifting the free end slightly to get it over the lip on the paper box Make sure the end of the lever A in the figure is correctly positioned m infe fef ele taf oy N Ne N peglever tif Final Stages 1 Attach the flex layer 10b to the base plate with screw and washer 5 if you have not already done so Be careful of the flex layer as it is easily torn at the junction of the Y 2 Slide the paper box onto the slides on the base plate Be careful of the eject lever when fitting the tray 3 Pivot the paper drive and feed assembly upwards 4 Attach the paper box links 14 5 Pivot the thermal line assembly upwards 6 Attach the TLP retaining springs 3 and 4 springs TLPH Make sure the body of the spring fits inside the cut out If the springs are not mounted correctly the paper table will rub against them pegsprng tif 7 Fit the paper table pins into the holes in the bearing casings on the side plates 8 Fit washer 1 over the pillar on the side panel and fit the end
110. br dup ERR TOP pate duod 69 loina nS DEGHO oon 70 Came Damasc eh enata eee ees 20 d ae eee We ee eee wae 70 Need oe Sess Saha ee eee MES 70 Ber te VOW Salt caret oie Gee ud Laredo 70 S Lh ory of Operation 53 62 do on a iq Oa op ac ed dS eR 87 TETTE D RE TTL D t LT TARTE 87 qiiibus 88 Contents Boone and Sel Vest aco ete oe Sa Dur deoa ata Sed 90 Oberdabobal us oer baat Geant ten deu wee aoe hh Aare ed ae ee natin 91 Hadde PIER 92 PS 060 eni duc qe eR ort 92 CEUM SOOO Ia aie ies Be tet ie p ees Bae ME ioe es 93 TST ees 95 RONIONEIS50 002300 derier teeters eant las ee eae 96 DUVET 9026691 at een dd ito end OE anos ID Cet A ui eit 97 Lronctendboare Shen below ease unease heed 99 Maternal Pulse Oximetry SpO5 Board M1350 66534 6 ce eee eens 101 External Blood Pressure NIBP Board M1350 66535 eee 103 Fetal Oxygen Saturation FSpO Board 4D et rt ee D 105 Trelemetry System M I250 00290 couse ate eect
111. ceed as follows psm24sca tif Figure 11 6 Removing the Backplane Turn the system off and disconnect the power cable Remove the Monitor Top Cover Remove all boards from the rear of the monitor Remove the system power supply Disconnect the system bus connector 1 from the Digital Interface board Remove the three screws 2 connecting the Backplane to the monitor chassis a a ee uec ES Gently pull the Backplane out of the side of the monitor Replacement is a reversal of the above procedure 172 Removal and Replacement Procedures Batteries The monitors clock is powered by two batteries located in the rear panel of the monitor The average life span of these batteries is one year When the battery charge is low the message EHF BAE is displayed and X Is printed on the recorder trace When this happens the batteries should be changed as soon as possible If the batteries are not changed the specific settings will return to their default values and will have to be reset each time the monitor is switched on For example the date is set to 4 4 44 Replace the batteries with two alkaline 1 5 Volt size N batteries recommended type MN9100 To replace the batteries ME 1 Switch off the monitor If you don t X will continue to be printed on the recorder trace Contact Spring 5021 3671 ug HEA B liu c Rear of Mo
112. cer 1357 A US MECG Combi transducer M1358A An MECG transducer M1359A Toco Transducer Socket You can connect An external Toco transducer 1355 An IUP transducer 1290C 1333 Toco Baseline Key zeroes the Toco display and trace to 20 units when monitoring uterine activity externally or 0 units when monitoring uterine activity internally Cardio 2 Transducer Socket for connecting ECG only patient module M1364A US transducer M1356A DECG transducer M1357A MECG transducer M1359A General Information Maternal Parameters xmrmateo tif Figure 1 3 Maternal Parameters General Information NBP Cuff Socket You can connect e An NBP cuff interconnect tubing M1599A and cuff 1574 SpO Transducer Socket You can connect e An SpO transducer M1940A adapter cable connected to M1191A transducer Softkeys for operating and setting maternal parameters They are NBP selects modes and alarm limits for NBP mat e selects modes and alarm limits for MHR SpO2 selects modes and alarm limits for SpO3 Reset Key yellow One short press e Acknowledges warning message Acknowledges alarm One press held for two seconds from maternal main screen only e Accesses volume and contrast setup Two presses within one second from maternal main screen only e Displays current maternal alarm limits SpO Value indicates the current read
113. cu 215 dcl 216 Troubleshooting trezeetedadaeee ese Wah de tibet Gaus pe est edd 19 RES 216 Contents vii Toco Transducer MIDA x cess de ese te aute raa qa aed dt Red ea aoa 217 IDOSCHDEIOB ia uotis eas ae Ge es 217 Speciications 1 eco I ransducer oo Sedes et atr p M eee OSES Saw Su Pe EES 217 ec NOOUING 217 DECG Tamane JS 75 bye duet xb des dietis du weet an ee 218 lB reni casi sons ta eee hee eae eee 218 ee 218 Parts Di56 T329 E EE De tae cae Bene eee ba ee rs 219 CABE CORNE Soo rae cri de deca WO egg ey ee ee ee ee 219 sate Lebe E nf E DEI EE eer eee ee ae 219 DECC Adapter wuld see eee atone Ee date ad 219 enis 219 dac Fed deos 219 MECG Transducer 11959 5 stints orev east eMe be Sele See eee kas 220 tt e diu ta et od eres 220
114. cue ak b ME d iet vtae REA P DO de S id 202 Paper sien duced raw ae dep duode eletti e e dup teo heb EH eee nis 202 203 Right side Plate 1e erede tie BUE Bie was eee ha i uito 204 ESSI a ey Sa cate ene aes oe ern ens I eae LM 204 Byect Viechanism and Base Assembly serrie a e oe eit dt hee basis bie ws 205 durs Bee Eee eee eds adi eeu wes dint eee eared ena oe 206 Paper Eject Mechanismand Base Assembly aut kee as eee de dat oat ae d wee Ra Mab ce kee wa 206 ele Side Pinte wi ames Res ta a SOLES tea oie Gave ee Shae 206 Motor Sus aaa tas ten quus en a bob eek 208 Thermal qe 333 gerade ak s PD d epos ied Soe ede doa bad 208 Paper DOK MN D a OTs 210 PTT 210 Recordi S cE nace ad eee ee 211 PRED lc eather NUNC RT Ogee US 212 14 Transducers and Patient Modules 215 Ta ied we S E dicU dera Oe ee 215 Ultrasound Transducer MIS SCA 215 ca are dae ane wet decine au SR N M e Md med s
115. d performance test blocks see Table 9 3 Perform visual test block see Table 9 3 Perform visual power on and performance test blocks see Table 9 3 and when power supply is replaced perform S Safety test blocks when Frontend Board is replaced perform Safety 5 test block M1350B and M1350C only when frontend board is replaced perform S 5 Toco test block when Mat SpO bd or cable is replaced perform S 3 SpO safety tests Perform visual power on performance and safety test blocks see Table 9 3 Combining Exchanging System Components All other service events Perform system test see System Test on page 120 Perform visual power on and performance test blocks see Table 9 3 Safety Maintenance and Calibration to Carry Key to Table 9 3 P Pass F Fail X test result value to be recorded Out the Safety Tests Table 9 3 M1350A B C Test and Inspection Matrix Test Block Test or Inspection to be Performed Visual Inspect the unit transducers and cables for any damage Are they free of damage Expected Test Results If Yes Visual test is passed What to Record on Service Record Philips Personnel only V P or Power On Power on the unit Does the self test complete successfully If Yes Power On test is passed PO P or PO F Performance Perform the quick test and parameter test as described on page 114 and page 112 respective
116. display clip removing 180 maternal parameters external devices 55 maternal SpO2 board 101 maternal SpO2 board error 534 flowchart 151 maternal SpO2 parameter test 159 maximum input output voltages 230 measurement priority 56 MECG input specifications 220 MECG parameter test 157 MECG transducer M1365A cable connections 221 specifications 220 mechanical inspection 123 Metron contact address 117 monitor cleaning 112 configuring using a PC 27 configuring using pushbuttons 21 description 7 overview 8 settings 39 mounting on carts 248 MRI 230 N N 400 N 200 DIP switches 58 NIBP calibration 131 NIBP capability adding 77 NIBP connector tubing removing 183 NIBP monitors 55 NIBP overpressure test 132 NIBP parameter test 161 noninvasive blood pressure warning messages 136 Noninvasive Blood Pressure Board functional description 103 notes 1l OBMS interface board a functional description 108 operator error messages 135 ordering parts 187 overview 250 of monitor 8 of service tests 6 P paper feed error 601 155 incorrect type error 602 156 sensing 163 setting speed and scale 40 varieties available 41 parameter test 6 recorder settings 211 parts list DECG transducer M1364A 218 MECG M1365A 221 recorder replacement parts 212 replacement parts 188 US MECG transducer 223 Patient leakage test 122 patient leakage test 122 patient modules specifications
117. ds upon the paper speed setting Paper Speed Minimum Time Interval System Interfaces Troubleshooting You can use the following tables for solving general application problems and product specific problems that may occur For solving general technical problems refer to the troubleshooting flowcharts Not all maternal NIBP measurements are printed on the trace and the NIBP Monitor is in automatic mode Incorrect SpO or Temperature measurements The time interval between each measurement is too short The monitor has been switched on before the appropriate sensor was applied Set the minimum time interval according to paper speed See previous pages in this Chapter Apply sensor 5 minutes before the monitor is switched on Nellcor N 200 Maternal SpO Monitor No maternal SpO and MHR measurements are printed on the trace The Nellcor monitor is powered by the internal battery Battery power symbol is lit Wrong DIP switch configuration of N 200 monitor Nellcor N 400 Fetal SpO Monitor Switch on the AC power at the rear of the monitor Battery power symbol is not lit See also FSpO2 Monitor on page 164 for troubleshooting instructions Check DIP switch configuration of N 200 monitor see page 58 No FSpO annotation after Rec On in Toco grid mat HR and mat SpO appear as printout instead of trace System Interfaces Wrong DIP switch configuration of
118. e eee Cee ee eee ere eee ee eee ee ee eee a ere ee ee ee 239 SPECICATION Sty Ad wie SO E ES T TID ley I aul wae hy ee 240 cea Etre 240 Opeciaunp and Enyirenmebtal c ehoxda de od abe anole ddr aoa be Sedi pa hau ane 240 Epl 241 External Bloods Pressure EE ena EOS heehee A BIRD eee eae ones 242 Material Pulse Oximetty OPO 2 25 2043 Ebert oi lu adeste cables eee 243 Petal Pulse ESO T 244 Maternal EC Gand Heart Rate aude aang a ode ee ios See eae 245 Maternal Display SCHON eae hae esr a eau 245 PNUD eo ona iaceo do ect ect aig te de Vet diede ened 245 OIG 0 245 a dut dx dd tede deu a Steere ee P id 245 Mode dhe dees deter es 245 Ultrasound External and Internal TOCO PD RC EE E EE ERR 246 Recorde usato fes Ei e rite ioc uta Cate ur a 246 FHRI gt lie RET ETT CERT STIS ETT 246 e unns Pc 247 Ou T CCEPIT 248 Contents
119. e final three digits of all boards connected into the fetal monitor For example in Pos 05 is board M1350 66536 Section 5 The complete configuration made using the monitor s push buttons is listed for easy validation and documentation Section 6 The revision number of the FSpO software Example NPB FMHP 5 0 1 acc Fetal Monitor Software revision number Nellcor Puritan Bennett Manufacturer Section 7 The error code occurrences and times and dates thereof are shown specifically for the FSpO board in exactly the same way as other boards are displayed in Section 1 of the error log Configuring the Monitor Changing the change the time format from AM PM format to 24 hour format do the following Time Format 1 Disconnect all transducers from the Monitor and disconnect or switch off Telemetry 2 While pressing press Test 3 Press Et to change the setting to 1 4 Press Test to store the new settings Full details about changing the time and date formats are given in Chapter 4 Configuring the Monitor Using a PC The service software kit M1360C Option 875 part number M1360 68875 allows you to carry out various extended configuration and service functions on the monitor Contact your Philips Sales Office for details The service software disk can be run on an industry standard PC There is also an adapter cable M1360 61675 to connect the monitor to the PC Pin female
120. e following task requires that the power be on while the cover is removed Proceed with extreme caution Failure to do so can result in serious injury NO hang ups PCB connector pins l Check Power Supply Fix power supply if needed Remove following PCBs all interfaces type A and B DSP Digital PCB Switch On Ensure batteries are fully charged x Connect A FE Failure to do so may cause system Exchange relevant D PCB OR A FE PCB OR Backplane PCB OR Power Supply Are RED LEDs on ROM PCB or CPU PCB or D FE PCB or amp FE PCB OFF 7 YES Y Reassemble according Failure might be to EXIT procedure found RED LEDs ON after power on ROM PCB CPU PCB ON Switch OFF ON Y Green LED must etay ON NO for 1sec Digital PCB and check batteries Are RED LEDs on ROM PCB CPU PCB D PCB A FE PCB OFF e Heassemble according to EXIT procedure Figure 10 4 Troubleshooting Error 500 Check backplane and Power Supply Exchange either ROM PCB OR CPU PCB OR Backplane PCB OR Power Supply Switch ON Green LED must stay ON for 18ec repeating NO
121. e measurement method used to a cuff pressure above the patient s systolic pressure For the first measurement the cuff inflates to approximately 165 mmHg For further measurements the cuff inflates to approximately 20 mmHg above the previously measured systolic pressure The pressure transducer detects both the cuff baseline pressure and pressure oscillation These signals are amplified and filtered to separate the cuff baseline pressure and the pressure oscillations The microprocessor compares successive pressure oscillation magnitudes until it detects two oscillations of similar amplitude By checking two subsequent oscillations it is possible to reject artifacts due to patient movement The baseline cuff pressure and oscillation magnitudes Theory of Operation 103 104 stored in the memory and the cuff pressure is further decremented Subsequent oscillation magnitudes will show decreases until no significant oscillations are seen The microprocessor displays the arterial mean pressure together with the systolic and diastolic pressures The pressure in the cuff is automatically released by the deflation system on the board The cuff is completely deflated and depending on the selected cycle time is inflated when the next measurement 15 to be made The board has the following maximum limits which ensure the safety of the patient 1 maximum measurement time of 120 seconds 2 maximum time of 120 seconds for a cuff pressure gre
122. e system standard IEC EN 60601 1 1 and all applicable particular and other referenced standards The system software incorporates data integrity checks for example watchdogs error and semaphore checking to minimize the possibility of hazards arising from software errors This symbol indicates that you should consult the Instructions For Use and particularly any warning messages Equipotential Terminal This symbol identifies terminals which are connected together bringing various equipment or parts of a system to the same potential This is not necessarily earth potential The value of potentials of earth may be indicated adjacent to the symbol Protective Earth Terminal This symbol identifies the terminal for connection to an external protective earth system Battery 2 1 5V This symbol identifies the battery holder containing two 1 5 V batteries For further information see Appendix B The Series 50 XMO and the Series 50 XM are not ECG Monitors are not defibrillator protected and are not designed for direct cardiac application None of the ECG modes are electrosurgery proof Safety 229 ESU MRI and Defibrillation Warning Remove all transducers patient modules sensors and accessories before performing electrical surgery defibrillation MRI and so forth High frequency current can flow through the equipment and burn the skin The equipment has not been tested with defibrillators Leakage Current
123. ease or oil any axle or bearing in the recorder system Recorder Assembly and Disassembly 197 Most of the time it is easier to work from the rear of the recorder and even easier with the rear of the base plate held in a vice However these instructions always describe the recorder as viewed from the front For example right refers to the right side when the recorder is viewed from the front The following figure illustrates this and also shows the three major assemblies referred to Some items such as the paper box have not been shown Left Rear Front Base Assembly Right Assembly pegoview tif A Thermal Line Assembly The instructions refer to Figures 9 2 9 3 9 4 and 9 5 Figure 13 1 is an exploded drawing of the recorder with some parts named The callouts in the figures are referred to by bold numbers in the 2 instructions For example spring 3 Tools 198 The following tools are needed to service the recorder Small crosshead screwdriver Large crosshead screwdriver Medium slothead screwdriver Spring tool The following tools are useful but not essential Universal vice to hold the base plate Small pincers or tweezers Recorder Assembly and Disassembly Left paper Right paper Thermal line printer head table guide Paper table table guide ESD shield Right side plate Paper table spring F
124. ecked quickly and easily The Performance Plus Package signal processing technique used by the instrument ensures that the information provided by the monitor is very accurate Ultrasound FHR traces are comparable with direct ECG FHR traces and variability recorded in the ultrasound mode is almost identical to that recorded in the DECG mode The recorder uses a high resolution thermal array print head which gives a very reliable and good quality trace Automatic annotation capabilities include time date paper speed and monitoring methods Nursing notes can also be documented using an optional barcode reader Either of the monitors can be upgraded to include all parameters depending on availability within the country of purchase General Information 7 Overview of the Monitor Figure 1 1 Major Parts ps uc dex SM Monitor On Off Switch Monitor On Off Light Recorder Keys Recorder Maternal Parameters optional Cardio 2 Channel Toco Channel Cardio 1 Combi Channel 10 11 12 13 14 15 24101981 tad Function Key Telemetry Indicator FSpO parameter
125. ecorder assembly out of the monitor casing 9 Place it in the new base assembly reversing the above procedure Take care that the paper eject lever fits back into the paper eject knob Note Take care not to lose the small O rings when you have removed screws 2 and 3 Replacing the Recorder Assembly is a reversal of the above procedure Caution The use of recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Removal and Replacement Procedures 175 Frontend Board To remove the Frontend board proceed as follows in CHD 2 4 serv6_10 hpg Figure 11 9 Removing the Frontend Board Turn the system off disconnect the power cable and all transducers 1 Remove the monitor top cover 2 Removal and Replacement Procedures 176 Disconnect the switch board cable 1 Disconnect the cable 2 from the connector on the DIF board Remove screws 3 and 5 and release the clips on either side of the transducer connectors Remove the Frontend board with its metal holder from the monitor Slide the Fron
126. edures 1 Remove the monitor top cover see Removing the Top Cover on page 167 2 Connect the monitor to line voltage and switch on 1 Remove the power supply from the monitor see Rear Assembly on page 168 2 Connect the monitor to line voltage and switch on 3 Usinga DVM meter check the voltage output from the pins as shown in Figure 10 5 and in Figure 10 6 It is recommended to use the rear of the board to check the voltages 5V 24 GND T12V GND sense 32 C JOC JI 10 vaadati If 01 Pegsm22a tif Figure 10 6 Power Supply Board 141 Table 10 4 Power Supply Board Output from Connector Pins 24V AC 27 to 36V rms 24V AC 27 to 36V rms 28V lt 50V 24V 22 3 to 25 7V 4 9 to 5 1V 11 8 to 12 8V 11 8 to 12 8V 4 If the output is not as shown replace the board see Power Supply Board on page 168 Error 506 ROM Board Error 506 DISPLAYED Y Switch Monitor Off Exchange EPROM Kit Switch Monitor On Is Err 506 NO
127. ee page 120 after working on the maternal SpO board Removal and Replacement Procedures 183 Front Panel Assembly 184 remfesca tif Figure 11 12 Removing the Front Panel Assembly Turn the system off disconnect the power cable and all transducers Remove the Monitor top cover Remove the Recorder Assembly as described in Recorder Assembly on page 174 Remove the FE board as described in Frontend Board on page 176 Remove the DIF board as described in Digital Interface Board on page 178 Remove the power switch extension jig Remove the screws 1 2 and 3 to release the holder from the bottom plate Slide the front panel backwards and remove it code xe e dos COMM NU de Release the three metal front panel holders from the front panel Replacement is a reversal of the above procedure Removal and Replacement Procedures Switch Boards Recorder Keys Board Function Switches Board Loudspeaker remswsca tif Figure 11 13 Removing the Switch Board You can remove the recorder keys board without removing the Monitor s front cover Uncap the Recorder Keys board 1 and lift it clear of the front cover Replacement is a reversal of the above procedure Remove the Front Assembly and Front Cover from the monitor Unclip the Function Keys board 2 and putt the board clear of the Front Cover Replacement is a reversal of the above procedure Remove the
128. ement Procedures Boards To remove a board from the monitor 1 Turn the system off and disconnect the power cable 2 Undo screws 1 at the top and bottom of the board you want to remove Move lever 2 upwards of the monitor NIPB and SPO Boards Only Slide the board out for a few centimeters until you can easily disconnect the NIPB tubing or SpO cable Detach the connection 4 Remove the board from the monitor Figure 11 5 Replacing a Board To replace a board 1 Push the board into the appropriate slot inside the rear of the monitor You cannot insert the board in the wrong compartment 2 Replace the screws and tighten securely If the CPU board has been replaced you must write the serial number 3 and feature settings of the monitor to the EPROMS on this board and reload the functionality with the PC software See Chapter 3 Configuring the Monitor for details The serial number and feature setting can only be written once When you replace either the SpO or the NIBP boards you must disconnect the SpO cable or NIBP tubing as appropriate before completely removing the boards Perform the Instrument Safety Test as described in page 120 after you have worked on the maternal SpO board Removal and Replacement Procedures 171 Backplane To remove the Backplane pro
129. er must NEVER be immersed in water m The blue ultrasound and Toco transducers are protected against the effects of continuous immersion in water according to IEC 529 IP 68 Warning NEVER immerse any transducer in water when it is connected to the Fetal Monitor Ultrasound Transducer M1356A lt b Description The M1356A Ultrasound Transducer detects fetal heart movements by directing a low energy pulsed Doppler ultrasound beam towards the fetal heart The transducer contains seven crystals which transmit the ultrasound signal and receive the reflected signal from the fetal heart The psm9sca tif Figure 14 1 Ultrasound Transducer Transducers and Patient Modules 215 frequency shift caused by fetal heart movement is converted into an electrical signal from which the fetal heart rate is derived Blue Ultrasound transducers are sealed units and are NOT repairable Specifications M1356A Specifications System Pulsed Doppler Oscillator Frequency 998 4 kHz Ultrasound Peak negative acoustic pressure p 28 0 4 7 kPa Output beam intensity 2 53 0 09 mW cm2 temporal average power area Spatial peak temporal average Loa 7 7 2 6 mW cm2 intensity Dimensions Diameter 75mm 2 95in Transducer Weight with Cable 185 grams 6 5 ounces Cable Length 2 5m 8ft 2in Watertightness To a depth of 0 5m 1 64 ft Temperature Storage Range 40 C to 60 C 40 F to 140 F Caution Using ultrasound gel that is
130. ernal heart rate if derived from MECG pulse rate if derived from pulse oximetry or average pulse rate if derived from NIBP Alarm status for each parameter except NIBP pulse rate Warning message if any Instrument Displays Mode Display Mode display for MECG and Telemetry Telemetry mode will be displayed when a M2720A Avalon CTS Cordless Fetal Transducer System or 80240A or M1310A Telemetry System is connected and powered up Two signal quality indicators cardio channels only green yellow and red show signal quality Acceptance lamps flash with valid heart rate measurement M1350B only Manufacturer s Information 245 Ultrasound External and Internal Toco Ultrasound External and Internal Toco Specifications Ultrasound Peak negative acoustic pressure p 28 0 4 7 kPa IDE HS Output beam intensity 2 53 0 69 mW cm2 temporal average power area Spatial peak temporal average Loa 7 7 2 0 mW cm2 intensity Sensitivity Automatically selectable between 40UV V mmHg M1348A and 5uV V mmHg M1334A and CPJ840J5 Recorder Recorder mechanism 5 channel high resolution 8 dots per mm 200 dots per inch thermal array recorder paper end detection Paper speeds 1 2 and 3cm min Annotation time of day and date automatic annotation every 10 minutes paper sensing mode annotated with each alteration of parameter Paper advance speed 24cm min Automatic stop at perforation line
131. es oe eee he ae La es Sue TIT 5 Dee ec ETE DEDI ates Sera 6 Overviewor the Service meee awe DE Aye oS See ae edad oed 6 AbOUt the MOBHOE vist chtaeee sae Ao eee hte je edu ed ds Co eee hae 7 Overview Monon d denied eh ea aa eames ote Een hue 8 Cardiosnd Loco Channels si ela on rds Casto Cabo eed eames 9 Maternal Parameters soe uu o eee ok Id oL eek he ote ari a Saree ee Saas Gee M aiu deco 11 Recorder Keys d bis dde trit emi dao e ane ost piace pira 12 s ce ned erates ae A ens et Oa Gs oe aN 13 Rear Panel Sloe Positians o 4 ex ad edo ets RE e UE OUR a eo Se 14 2 Pre Installation CHECKS errre tore oe adim Bow AD entras aU UG RUN oe Cea 15 Power Source ws ane ee dara SE te Bee acs 15 betting the ue xus Sania ia duse teda sa ted ee ee eae QE quod eee eames eas 16 Bis CAMA CUO cache attrac aaa Aas ELIT ee gh pei re tes 17 3 Configuring the o A ow das 19 tfoOductiOH s ecce ER Cer UE PERDRE iu ew ede Pod a ii ua 19 Comicon bask ac denis aco acra cae Dp qo Vee Cau deas aru ones eae eis et Ao 20
132. est monitor upgrade ROM board with new CPU firmware upgrade NIBP board with new firmware upgrade ROM board with new CPU firmware Fit new board Series 50 IX only Fit new board 69 maternal parameter Interface Board Fit new interface board inte rbice CDU firmware 4 EPROMs upgrade ROM board with new CPU firmware Cable to link monitor to exter nal device Initial Inspection The upgrades are supplied packed in protective shipping cartons Before unpacking visually check the packaging and ensure there are no signs of mishandling or damage Using the table above ensure that you have received the correct components for the upgrade option number check that the contents are complete and that you have the correct upgrade Claims for Follow the instructions in the section Unpacking and Checking the Shipment on page 3 if the Damage shipping cartons show signs of damage What You Need Upgrading a monitor requires simple tools m pozidrive screwdriver size 1 m safety test equipment m for configuration Configuration software m Cable to link PC to fetal monitor Before You Start Warning Disconnect the electrical power to the monitor before you remove any component Follow the necessary electrostatic discharge ESD procedures throughout the upgrade process 70 Upgrades Instruction 1 Verifying Monitor for Upgrade Before you start the upgrade process ensure that you
133. est results are not as outlined above repeat the test with another M1362B DECG adapter cable and or M1365A patient module Testing MECG 1 Attach the MECG adapter cable M1363A to the red color coded socket on the M1365A Mode EITHER a Attach electrodes to the M1363A adapter cable and apply the electrodes to the skin for example on the wrists OR b Attach the M1363A adapter cable to a patient simulator Safety Maintenance and Calibration 129 130 Note We do not recommend the use of a specific patient simulator The use of a patient simulator does not allow checking the specification of the ECG Functionality it allows only a check of general function Result You should see MECG values displayed on the maternal LCD display and annotated on the recorder trace If the test results are not as outlined above repeat the test with another M1363A MECG adapter cable and or M1365A patient module Testing with To verify the operation of the M1365A Patient Module with the Fetal SpO sensor use the Fetal SpO following procedure Sensor Connect the patient module to the Cardio 1 Combi socket of the fetal monitor 2 Ensure that the FSpO display shows E o jo BIB tL EJ EJ ES amp amp 3 Connect the FSpO sensor Check that the red LED s on the sensor are working and that the monitor FSpO display shows aV Jt
134. f the removal procedure see Removing the Power Supply Assembly on page 168 Note DO NOT force the power supply assembly into the rear of the monitor If it will not locate remove and check that the pins connecting the supply to the Backplane are not bent Reinsert the power supply assembly 3 Replacement of the ON OFF button is a reversal of the removal procedure see step 4 on page 168 You should hear two clicks as the end of the button s extension arm locates on the notches on the switch unit in the power supply 4 Perform the Instrument Safety Test see page 120 after you have worked on the power supply Removal and Replacement Procedures 169 Fuses 1 Remove the power supply board as previously described 2 The location of the fuses is shown below 5V 24 GND T12V GND sense 32 C JI 10 if 01 pegsm22a tif Figure 11 4 Output Voltage from Power Supply Board 3 remove the fuses pull them out Table 11 1 Fuses 210 083 pin fus 125A 2110 0853 pin fus 0 164 170 Removal and Replac
135. g Make sure the drive belt goes through the two slots in the right hand platen spacer Hold the platen in position and slide the black extrusion 28 into place Turn the assembly over holding the components together and fit screws 26 and 27 to secure the side plate to the extrusion Slide the shaft 42 into the base plate Fit the right platen spacer 30 making sure washer 31 is in place between the end of the platen and the side plate It is essential that the correct washer is used 0 15 mm thick 8 am external diameter hardened Slide washer 24 onto the end of the shaft 42 It is essential that the correct washer is used 0 2 mm thick 12 mm external diameter hardened Put washer 23 on the free end of the platen drive shaft Recorder Assembly and Disassembly 12 Fit the right side plate making sure the washer 24 is correctly seated p Washer Pressed Brass Bearing Rase Plate Rod pegwashr tif 13 Fit screw and spring adapter 22a and screws 20 and 21 to secure the right side plate 14 Check the assemblies pivot freely If they don t washer 24 is probably not seated correctly 15 Attach rubber stop and screw 36 Recorder Assembly and Disassembly 207 Motor It is important that the motor 15 correctly positioned The drive cog should be fully visible through the cut out in the plate as shown in the following figure with the cables out towards the bottom
136. gen Saturation monitor N 200 a Nellcor OxiFirst Fetal Oxygen Saturation monitor N 400 Theory of Operation 109 110 The interface board has two independent ports one 9 pin connector and 25 pin connector The 9 pin port can be used for RS232 data transmission and the 25 pin port for both RS232 and RS422 data transmission The RS232 standard is suitable for distances up to 15m 50 feet and the RS422 standard for up to 300 m 1000 feet The RS232 RS422 interface board consists of the following major components 80C51 Microcontroller U1 ASIC Chip U2 e Multiplexer Controller e Signal Input Output SIO 32KB SRAM U3 Comparator U4 Switchblock SW 1 The available baud rates are 9 pin 9600 Baud Philips CMS 9600 Baud Philips 7835xC 600 Baud Dinamap 1846 8100 9600 Baud Accutorr 4800 Baud BP 8800 25 pin 2400 Baud Nellcor N 200 N 400 Theory of Operation 9 Safety Maintenance and Calibration Introduction This chapter contains maintenance and safety information for the Series 50 XM XMO monitors and accessories All checks that require the instrument to be opened must be made by qualified service personnel Contact your local Philips representative if you wish safety and maintenance checks to be carried out by Philips personnel To ensure proper functioning of your monitor you must adhere to the standards described in this Guide for m Cleaning Performance
137. guring the Monitor Introduction This chapter describes the tasks you must carry out to configure the monitor This involves the following service tasks m Configure the monitor Configure the recorder wm Print and clear the error log m Set the time and date format to the local standard Some configuration tasks can be completed by connecting a PC to the monitor some by using pushbuttons on the monitor itself Most can be performed using whichever method is more convenient for you see Table 3 1 for a list of tasks and methods To find out how to set the time date and paper speed see Chapter 4 Configuring the Monitor 19 Configuration Tasks The following table shows you which configuration actions can be carried out using pushbuttons on the monitor and which can be carried out using a PC connected to the service socket Table 3 1 Configuring the Monitor Task y O Configure the time format Yes Yes Configure the date format Yes Yes Configure the IUP format Yes Yes Configure the paper format Yes Yes Configure the recorder print offset Yes Yes Configure the recorder heat adjust Yes Yes 2 2 eu li Alert acknowledgment at marker button Run the cyclic test n Read the options installed Read the Error Log Z F N N d Print the Error Log o Oo d Clear the Error Log Write the serial number and set the options Z Configure the language option Z
138. he individual boards The CPU also handles data exchange between the maternal interface and the soft keys Theory of Operation 89 Booting Self Test 90 The system tests itself when it is turned on There are two types of check programs that check the hardware on each board and programs that perform checksums on the individual portions of code that are loaded from the ROM board Boards with processors check themselves boards without processors are checked by the CPU board All error LEDs are lit at the start of the checks and the boards are then checked in sequence If a hardware error is detected on a board its error LED stays lit and the error code for the board is shown on the display the error code is the last three digits of the board s part number If any element in the display chain is not working the errors may not be displayed If a board passes its check the LED is extinguished and the next board in the sequence Is checked The system also tests itself while it is running When the system is turned on the initial reset generated by the power supply is fed to the CPU board where it is latched and passed to the other boards Each board latches the reset to light its error LED The LED can only be turned off by the CPU board de latching it The processor on the CPU board runs a small self test program from the ROM board The program tests certain functions of the CPU and ROM boards If the tests are successful the
139. he same as described for the Ultrasound Transducer and the MECG Transducer Transducers and Patient Modules 223 IUP Pressure Transducer 840 5 Description 224 Pressure range Max overpressure Sensitivity Resonance frequency Max electrical excitation Bridge resistance Non linearity and hysteresis Zero balance Operating temperature range Storage temperature range Isolation resistance Leakage current Weight Connector Immersion Cleaning Sterilization Mounting IUP pressure transducer supplied with transducer holder CPJ84046 Use with sterile disposable domes CPJ84022 20 to 300 mm Hg 10 000 mm Hg 5uUV V mm 300 Hz typical transducer and dome 15 V DC or AC 1000 Ohms input and output max 0 5 of full scale max 0 15 mm Hg C 10 to 50 C 50 F to 122 F 20 to 70 C 4 F to 158 F min 1000 MOhms max 1 5uWA at 250V 50 Hz 24 grams 0 85 ounces without cable Equipment specified See the User Documentation that is supplied with the transducer See the User Documentation that is supplied with the transducer See the User Documentation that is supplied with the transducer Wrist strap provided for mounting on patient arm transducer holder available as accessory for IV pole mounting Transducers and Patient Modules Patient Modules M1364A and 1365 M1364A M1365A ecg_only tif combimod tif Description Both patient mod
140. head No more than 2 adjacent dots are inoperative No dots in the mode annotation for example US1 are inoperative 114 Safety Maintenance and Calibration If any of these conditions occur replace the printhead If you do not release at the end of the test the monitor repeats the pattern Dots printed on the colored grid lines might appear light This is not a fault After the test the recorder paper speed is automatically reset to the pre test value If an error occurs it is displayed for 10 seconds See Chapter 10 Troubleshooting for a table of error messages and possible solutions After this time Err is printed on the recorder together with the time date annotation Performance Assurance NIBP When to perform 1 Regularly once a year 2 After any repair related to the NIBP module this includes NIBP software updates Accuracy Test 1 Enter the calibration mode see page 131 2 Pressurize the gauge to 220 mmHg 3 Wait ten seconds for the measurement to stabilize 4 Compare the manometer s value with the displayed value 5 Document the value displayed by the monitor If the difference is greater than 3 mmHg Leakage Test 1 Linearity Test calibrate the module Enter the calibration mode see page 131 Pressurize the gauge to 280 mmHg Watch the pressure value for 60 seconds After 60 seconds the value should have decreased by less than 6 mmHg Calculate and document Lea
141. head and paper sensing mechanism must be cleaned at least once per year or when needed when traces become faint Clean the assemblies as follows Clean the recorder platen with a lint free cloth using a soap water solution m Wipe the thermal array using a cotton swab moistened with 70 Isopropyl alcohol based solution Check the paper sensing mechanism is dust free Batteries Replace the batteries with two alkaline 1 5 Volt size N batteries recommended type MN9100 For instructions refer to Batteries on page 173 Use of ultrasound gel that is not approved by Philips may reduce signal quality and may damage the transducer This type of damage is not covered by warranty Visual Check Ensure there are no cracks in the transducer dome that the cable is not cracked or broken and that there are no cracks on the connector plug Electrical Check 1 Connect the transducer to either the Cardio 1 Combi or Cardio 2 socket Both the connector and socket are red and keyed so that they mate in only one position Ensure that e The signal quality indicator is red e The FHR numerical display is blank e When the recorder is switched on the date time mode and paper speed are printed on the recorder trace 2 Turn the loudspeaker volume up to an audible level The ultrasound transducer contains seven piezoelectric crystals Basic functioning of each can be verified by holding a flat bottomed pencil or similar ab
142. ical terms are used throughout this guide Familiarity with such terms is assumed Familiarize yourself with the contents of this guide and the nstructions for Use before attempting to install or service the monitor Conventions Used in This Guide This guide uses the following conventions for notes cautions and warnings Warning A warning alerts you to a potential serious outcome adverse event or safety hazard Failure to observe a warning may result in death or serious injury to the user or patient 1 Currently not available in the U S A General Information 1 Caution A caution alerts you to situations where special care is necessary for the safe and effective use of the product Failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property and possibly in a remote risk of more serious injury Note A note calls your attention to an important point in the text Symbols Symbols used in this guide are Meaning Equipotential Terminal This symbol is used to identify terminals which are connected together bringing various parts of an equipment or system to the same potential not necessarily being earth potential the value of potentials of earth may be indicated adjacent to the symbol Symbol International Caution Symbol A This symbol indicates that the operator should refer to the product instruction manual before beginning a procedure Protective
143. ice Program is working for example Reading Recorder Adjustments from the Monitor Reading Serial Number from the Monitor Clearing the Error Log 30 Configuring the Monitor Configuring the Monitor Function lt Actual Setting is Select Paper Scale US US Time Format AM PM AM PM Date Format US US IUP Scale mmHg mmHG MESSAGE Select with gt cursor keys lt or gt E S D X lt then press ENTER to execute To change a setting 1 Using the appropriate keys move the cursor to the selection you require 2 Press Enter return to the Main Menu 1 Move the cursor to Return to Main Menu 2 Press Enter Example On the screen above the actual setting of the paper scale is US To change this to EU move the cursor to EU in the Select column and press The program will reconfigure the monitor for the European paper scale The settings on your monitor may be different from those shown Configuring the Monitor 31 Adjusting the Recorder 32 The Recorder Heat Adjust is to compensate for different tolerances in the paper Recorder Heat Adjust Recorder Zero Adjust Return to Main Menu MESSAGE Actual Value is Selected Value is Actual Value is Selected Value is Left Right Select with gt cursor keys lt or gt E S D X then press ENTER to execute To change a setting 1 Using the appropriate keys move the cursor to the new value you req
144. ide battery voltage when the power line is switched off and to detect battery low condition Bus control section e Address and data bus control chips e Board select logic to access all system boards e circuits to allow DMA access via the system bus e Interrupt logic to provide for local and system wide interrupts with different priority levels crystal quartz oscillator and related circuitry provide several local and bus clock frequencies Theory of Operation DSPII M1350 66507 Board ID Revision i Clock Error and Data Circuit Reset RAM Hardware 68000 Processor Signal DMA processor System bus DMA Hard CPU Logic ware Data signal Program processor RAM Program PegblkO4 tif RAM Figure 8 4 DSPII Board The Digital Signal Processor DSPII board contains the following main functional elements m 68000 CPU and RAM m 2signal processors and RAM DMA control logic and hardware m Clock circuits The 68000 CPU has overall control of system signal processing It controls the on board signal processors The majority of the signal processing takes place in the ARCHIMEDES proprietary Philips signal processors Two ARCHIMEDES are used One processes DECGI MECGI USI and fetal movement detection The sec
145. in PIN Pin 2 2 3 3 7 Figure 5 10 COLIN Interface Cable System Interfaces 57 Nellcor N 200 connect a Nellcor N 200 or N 400 monitor to the Philips Series 50 XM or XMO monitor or N 400 Monitor Use the interface cable M1350 61609 Connect the 25 pin end of the cable to the Philips Series 50 XM or XMO monitor Connect the 9 pin end of the cable to the Nellcor N 200 or N 400 Secure the interface cable by the screws at the cable connectors m Set the dip switches on the rear panel of the Nellcor N 400 fetal SpO monitor to e Up 4 8 e Down 3 6 7 This selects a baud rate of 2400 and an output format of Conversation The positions of the other dip switches do not matter The following tables list the pin numbers the signal at each pin and the signal details Table 5 4 9 Pin Connector Signal Details E 58 System Interfaces chassis for cable shield connection NC NC NC NC pegdser hpg nnected to 1 D D nnected to 4 uu ground 4 36 26 Rx C Case chassis for cable shield connection NC NC NC nc nc nc nc RxD 2 RS422 nc nc nc Figure 5 11 Dual Serial Interface 9 Pin and 25 Pin Philips V24 V26 To connect a V24 V26 to the Philips Series 50 XM or XMO monitor Use the interface cable M1353 61614 Secure the
146. ing for patient s oxygen saturation level 11 Recorder Keys 12 6 Icon indicates source of MHR indicates heart rate value taken from measurement IN indicates pulse rate value taken from SpO 4 measurement o indicates average pulse rate taken from NIBP measurement Maternal Heart Rate shows current heart rate or pulse rate Systolic Value shows the value for the systolic parameter of the most recent external blood pressure measurement Diastolic Value shows the value for the diastolic parameter of the most recent external blood pressure measurement xmrecoO1 tif Figure 1 4 Recorder Keys l Recorder On Off Light On when the recorder is switched on Flashes when monitor detects five or fewer pages remaining in the pack or if the paper runs out Recorder On Off Key Single press turns recorder on off 2 second press starts NST timer Recorder must be off Event Marker Key Press to record an event on the paper Acknowledges all alerts and alarms Paper Advance Key Press once to advance the paper automatically to the next fold Press a second time to stop paper before fold Tear paper at fold Never pull paper to advance it Paper Eject Key Press once to unlock the drawer and then press a second time and hold to remove the
147. itch to off Switching On 1 Turn rear switch mains power to on 2 Turn front switch on standby mode to on If the unit behaves erratically switch it off exactly as detailed above wait for five seconds then switch it on again When using the FSpO monitor regularly it is recommended to keep the rear switch in the on position and use the front switch to change from on to standby mode Troubleshooting 11 Removal and Replacement Procedures Introduction This section provides detailed information on the removal and replacement of components but it is not necessary to do this for most service tasks You should only disassemble the monitor as far as you need to replace an item In order to help with the descriptions the monitor is divided into three sections These are 1 Rear Assembly Power Supply Boards Backplane e Batteries The Recorder Assembly The Front Assembly Front Cover e Frontend Board e Loudspeaker Digital Interface Board e Display Board e Function Switches Recorder Keys e LCD Display Board e Tilt Mechanism e Display Assembly As no components on the boards are replaceable the removal procedures will only go down as far as removal and replacement of the boards themselves Removal and Replacement Procedures 165 Test Inspection and Safety Procedures It is very important to perform the test inspection and safety tests detailed in Chapter 9 Safety Maintena
148. itive to rough handling scratches and breakage than the other external surfaces of the monitor Many cleaning agents must be diluted before use Follow the manufacturer s directions carefully to avoid damaging the instrument Never use an abrasive material such as steel wool or metal polish Wipe around the NIBP connector socket not over it to ensure that no water or cleaning solution enters the NBP input connector The Instructions for Use for this monitor contains more details about how to for the monitor and the accessories Performance Assurance Tests Self Test The monitor automatically performs a basic level self test when you switch it on There are two possible types of error that you might see A fatal error prevents the monitor from functioning A non fatal error allows you to continue to work but warns you of a problem that must be resolved swiftly e Ifa non fatal error occurs for example if the batteries are low An error message is displayed for ten seconds Err xxx time and date are printed on paper after ten seconds and then every ten minutes is the number of the error message Switch the monitor off and then on If the error occurs again try to solve the problem or if you cannot contact your Philips Service Engineer or Response Center If the recorder is not on when the monitor is switched on Err xxx A time and date are printed when it is switched on subsequently
149. k Addr CPU Buffer PLOTS A1 23 S Barcode 10 MHz n interface Data Buffer 0 DO 15 Watchdog DMA DSA logic 4 Battery DSAO 3 H Shake T Battery m Backup IRPT Slot Circuit logic SIRQ1 2 pegblk03 tif Figure 8 3 CPU Board The Central Processor Unit CPU board is the heart of the system and as master of the system bus it controls most other boards The 68000 microprocessor and associated support ICs provide system functions interface control ICs support the Barcode Reader Interface and the bus control section controls the system bus The card is directly connected to the ROM board which contains all the system software Theory of Operation 93 94 The board includes the following sections Microprocessor section e 68000 microprocessor e CMOS RAM memory partially backed by a battery to store short time device settings etc Anon volatile EEPROM memory for permanent device and user settings e real time clock battery backed and power fail protected The processor has access to all clock registers e The Watchdog ASIC monitors the operation of the microprocessor and restarts the system if it is not served at a constant rate Outside interface section e The CPU M1350 66513 interfaces barcode readers which use a RS232 connector battery drawer which contains two batteries of type IEC LRI size N e Battery control and test circuit to prov
150. kage test reference value 280 mmHg displayed value Enter the calibration mode see page 131 Pressurize the gauge to 150 mmHg Wait ten seconds for the measurement to stabilize Compare the manometer s value with the displayed value Document the value displayed by the monitor If the difference is greater than 3 mmHg calibrate the module Safety Maintenance and Calibration 115 Service Tests Cyclic Test The cyclic test is a permanent self test see Running the Cyclic Test on page 33 for instructions on how to perform it Any errors located are written to the error log and can be read using Read Error log see Reading the Error Log on page 34 Permanent You can configure the monitor to perform a permanent continuous test This is similar to the Test cyclic test which can be performed with the PC based service software To start the permanent test 1 2 8 Disconnect all transducers from the monitor and disconnect or switch off Telemetry Make sure the recorder is on While pressing press Test e C01 is shown in the US1 US display e Oorl is shown in the Toco display Press again to select the Function Menu e 01 Print the Error Log is shown in the US1 US display Press repeatedly to select A03 Connect one or more transducers the test performed depends on the transducers connected Plug in the marker and hold its button down with tape You can also use a shorted phone jack
151. l and maternal and FSpO M1350 69205 453563273591 Caution Use the replacement transducer cables listed below to repair BROWN transducers ONLY All blue M1355A M1356A and M1358A transducers are sealed watertight units and are NOT repairable Replacing the cable of a blue transducer or modifying the transducer in any way will void any warranty including the guarantee of watertightness Table 12 4 Replacement Parts Transducer Cable Assemblies Description Old New Identifier Identifier M1355A Cable Assembly Toco 2 5m 8 2ft M1355 61652 453563277161 M1356A Cable Assembly US 2 5m 8 2ft M1356 61661 453563277261 M1358A Combi Cable Assembly US MECG M1358 61681 453563277341 190 Parts Lists Parts Lists Figure 12 1 Parts Diagram Table 12 5 Part Numbers Part Number Description Qty Old Identifier New Identifier M1350 05202 Monitor Top Cover 453563272471 Screws Top Cover M3 x 6 0515 0890P 4 453563480701 OJ 5041 4284 Mounting Cam 453563100001 Mounting Screw Cam M3 x 8 0515 0897P 1 453563023841 5041 4264 A Foot 453563099941 0515 0897P A Mounting Screw Foot M3 x 8 453563023841 Front Panel without label M1350 40202 1 453563272621 0515 1508P A Mounting Screws Front Panel M3 x 4 453563024121 10 M1350 02311 Holder Front Panel Left 453563272621 13 Chassis DIF Board M1350 02315 1 453563272391 11 Holder Front Panel
152. loudspeaker cable going to the DIF board Remove the four screws holding the loudspeaker in place Caution The strong magnet will pull your screwdriver towards the membrane Be careful not to damage the membrane Replacement is a reversal of the above procedure Removal and Replacement Procedures 185 186 Removal and Replacement Procedures 12 Parts Lists Introduction This section contains information for identifying locating and ordering replacement parts Ordering Occasionally electronic items in the replacement parts list will be found to carry standard Information commercial identification numbers and also to be indicated as being manufactured by Philips These components have been selected to meet specific operational criteria The use of these components purchased through normal commercial channels may result in degradation of the operation performance or reliability of the unit To order a replacement part address your order or inquiry to the local Philips Sales Service Office giving the Philips part number of the item from the list To order a part not listed in a table provide the following information 1 Model number of the instrument 2 Complete serial number of the instrument 3 Description of the part including function and location Table 12 1 Parts List Index Parts List Table 12 2 for Parts and Exchange Parts Numbers Exploded System View Figure 12 1 Recorder See Chapter 13 Transducers See Cha
153. lt 20UA 120V See Safety Test 2 and Safety Test 3 S 5 Toco P X or S 5 Toco F X S 5 SpO5 P X or S 5 SpOj F X See Safety Test 2 and Safety Test 3 119 Instrument You must perform the instrument safety test every time you exchange repair upgrade or in any Safety Test other way work on the front end board the power supply the power inlet or the maternal SpO board and cable If you intend to connect the monitor to an OB monitoring system such as Philips OB TraceVue you must perform the instrument safety test with the monitor as a standalone unit before reconnecting it to the system The instrument safety test is made up of four separate tests see page 122 m Protective Earth Test Enclosure Leakage Current Normal Condition m Enclosure Leakage Current Single Fault Condition Patient Leakage Current Single Fault Condition System Test Whatisa Medical Electrical System General Requirements for a System 120 After mounting or setting up a system or combining or exchanging any system components perform safety tests as detailed in this Service Guide and the system test see also Table 9 2 M1350A B C When to perform safety test blocks on page 118 and Table 9 3 M1350A B C Test and Inspection Matrix on page 119 A medical electrical system is a combination of at least one medical electrical device and other electrical equipment inter connected by functio
154. ly Do these tests complete without errors Safety If Yes Performance Test is passed P P or P F Perform Safety Test 1 Protective Earth With mains cable S P Xlor Maximum impedance X1 S F X1 lt 200 mOhms Perform Safety Test 2 Enclosure Leakage With mains cable S P X2or Current Normal Condition Maximum leakage current 2 S F X2 lt 100 Perform Safety Test 3 Enclosure Leakage With mains cable 5 Current Single Fault Current Open Maximum leakage current S F X3 Supply lt 500UA Note maximum leakage current in the US 300 Perform Safety Test 4 Enclosure Leakage With mains cable S P X4or Current Single Fault Current Open Earth Maximum leakage current X4 S F X4 lt 500LLA Note maximum leakage current in the US 300UA Safety Test 5 Patient Leakage Current Single Fault Current Mains on Applied Part ONLY TOCO input tested Metron Testconn order 419528 or equivalent required ONLY maternal SpO input tested Metron Testconn Metron order 19524 and Philips Adapter M1940A or equivalent required System Perform the system test according to IEC 60601 1 1 if applicable after combining equipment to form a system Safety Maintenance and Calibration With mains cable Maximum Leakage current X lt 50UA 250V or lt 20 120V Maximum Leakage current X lt 50UA 250V or
155. m boot sequence and system self tests as well as brief functional descriptions of individual boards The following boards are described in this chapter Product Number Abbreviation M1350 66502 Power Supply Board M1350 66506 ROM Board M1350 66513 Central Processor Unit Board M1350 66515 Digital Interface Board M1350 66517 Frontend Board M1350 66532 OBMS Interface Board M1350 66533 Dual Serial Interface Board M1350 66534 Maternal Pulse Oximetry Interface Board M1350 66535 External Blood Pressure Interface Board M1350 66536 Telemetry System Interface Board M1350 66540 Fetal Pulse Oximetry Interface board The following boards are not described M1350 66525 XM Display Board None M1350 66527 XMO Theory of Operation 87 System Overview Switch Board 1 521 SpO 540 Extern F Board 2 Cardio Frontend Board gt E So Combi 7 eu T o IF Board B3 OBMS IF Analog Out Option 532 RS422 ardio Combi C44 ne IF Board B4 oating SpO
156. n the monitor is switched on For example the date is set to 4 4 44 Err 101 FSpO patient module defective Replace patient module Err 102 Cardio 1 Communication error no connection between Replace patient module FSpO patient module and monitor Err 103 FSpO sensor defective Use a new sensor nop Cardio 1 No contact or poor contact between reference Use a new spiral electrode electrode and mother Cardio 2 135 Error Messages on Trace Err bAt Solution Battery low or empty of charge Change the batteries as soon as possible If you do not change the batteries your specific settings will return to their default values when the monitor is switched on For example the date is set to 4 4 44 Err PAP 30 240 3 Incorrect type of paper loaded Load paper with 50 210 scale or change the monitor s paper format setting see the section Setting Paper Speed and Scale on page 40 See do 3 Incorrect type of paper loaded Load paper with 30 240 scale or change the monitor s paper format setting Error 601 5 see the section Setting Paper Speed and Scale on page 40 xxx is between 500 and 600 This Contact a Philips Service Engineer or Response Center Err xxx A indicates a technical failure diagnosed by the monitor s self test program Paper speed Check that correct paper is used Check the speed by timing how long it takes for the paper to advance 60 seconds 1cm min 3
157. n the order of a physician Manufacturer s Information 239 Specifications The following section gives the manufacturers specification for the monitor Patient Safety Resulting Isolation with transducer patient module C C CF C F F F Monitor Input Parameter Connector IUP TOCO NIBP SpO2 US M1356A DECG PTaS7A 8 MECG 1359 8 DECG or MECG via M1364A B FSpO2 and either MECG or DECG via M1365A Remote event marker 15249A None of the ECG modes are electrosurgery proof Operating and Environmental Power Requirements Operating Voltage 100 120 V x 1096 220 240 V 10 Line Frequency 50 to 60 Hz Environment Operating Temperature 0 C to 55 C Storage Temperature 40 C to 75 C Relative Humidity 5 to 9596 Dimensions and 147 mm 5 818 Weight Pamm 16i without transducers Sam 54i 1 Transducers can be stored at temperatures of 40 C to 60 C 240 Manufacturer s Information Fetal Display Heart Rate Range US Fetal Heart Rate Alarm Bradycardia 60 to 120 bpm Limits Alert Range adjustable in 10 bpm steps Default 110 bpm Tachycardia 150 to 210 bpm adjustable in 10 bpm stems Alert Range Default 150 bpm Fetal Heart Rate Alarm Bradycardia 10 to 300 sec adjustable in 10 sec steps Delay Alert Delay Default 60 sec Lower limit also applies to Alert Delay Default 60 sec Manufacturer s Information 241 Maternal E
158. nal connection or use of a multiple portable socket outlet After installation or subsequent modification a system must comply with the requirements of the system standard IEC EN 60601 1 1 Compliance is checked by inspection testing or analysis as specified in the IEC 60601 1 1 or in the Znstructions for Use Note Medical electrical equipment must comply with the requirements of the general standard IEC EN 60601 1 its relevant particular standards and specific national deviations Non medical electrical equipment shall comply with IEC and ISO safety standards that are relevant to that equipment Relevant standards for some non medical electrical equipment may have limits for enclosure leakage currents higher than required by the standard IEC 60601 1 1 These higher limits are acceptable only outside the patient environment It is essential to reduce enclosure leakage currents when non medical electrical equipment is to be used within the patient environment Safety Maintenance and Calibration System This illustration shows a system where both the medical electrical equipment and the non medical Example electrical equipment is situated at the patient s bedside Non Medical Devices Medical Devices Personal External Medical Computer Devices Distance to patient must be gt 1 5m lsolation Transformer Key Power cables Data cables Fetal Monitor Warning Do not
159. nal quality indicator is green Fetal heartbeat is heard from loudspeaker TOCO A signal alternating between 10 and 60 for periods of 2 secs for as using 1355 long as the key is pressed is displayed and printed DECG 200 is displayed and printed using M1357A Signal quality indicator is green using M1365A M1364A Fetal heartbeat is heard from loudspeaker DECG cable M1362A must be connected MECG 120 is printed using M1359A MEC G indicator is on using M1365A or M1364A MECG cable M1363A must be connected 120 AI is displayed on the LCD screen US MECG Cardio 1 Combi 190 is displayed using M1358A 190 and 120 are printed Signal quality indicator is green MECG is on Fetal and maternal heartbeats are heard form the loudspeaker Maternal SpO 99 is displayed on LCD and printed using M1940A Pulse 120 ee displayed on LCD screen Fetal SpO 88 is displayed using M1365A Safety Maintenance and Calibration 113 Quick Test The quick test takes approximately 15 seconds and tests the basic electronics of the monitor display recorder and hardware To carry out the test 1 Remove any monitoring equipment plugged into the input sockets Switch off or disconnect the telemetry receiver and any external devices connected to the monitor 2 Switch on the monitor 3 Press and release the test key Check that all parts of the LED display windows light followed by all the mode symbols The upper
160. nce and Calibration whenever you connect a monitor to an OB system or have worked on individual monitor components Tools The following tools are needed to dismantle the monitor pozidrive screwdriver size 1 safety test equipment PC for configuration Configuration software pegserv exe Cable to link PC to fetal monitor 166 Removal and Replacement Procedures Removing the Top Cover Note Warning Electrical power is dangerous Prior to attempting to remove any component from the system the power to the system must be disconnected Access to most of the items within the monitor is only possible with the top cover of the monitor removed To remove the top cover 1 Turn the system off and disconnect the power cable 2 Undo the four screws situated on the sides of the monitor 3 Slide the cover towards the rear of the monitor and lift it off psm19sca tif Figure 11 1 Removing the Top Cover Replacement of the cover is a reversal of the above procedure The boards and power supply can be removed from the rear of the monitor without removing the top cover If you do remove the top cover take care when you slide it back that the RFI spring does not fall into the Fetal Monitor This could damage the components Removal and Replacement Procedures 167 Rear Assembly Removing the 1 Turn the system off and disconnect the power cable Power Supply 5 Assembly Remove the top cover
161. nel Assembly 0 0 00 cece eee eens 184 Figure 11 13 Removing the Switch Board 185 Parts Daora ccs Stites etes bee 191 Feie to Component Names e ee dos 199 Figure 13 2 Replacing ihe Thermal Line Printer Head 200 Figure 13 3 Paper Table and Thermal Line Printer Assembly _ 201 Figdted 3 4 Mortorandside PEtess 203 Figure 13 5 Eject Mechanism and Base Assembly 1 nee 205 Foure lAl Ultrasound Dransdueer dicbessaS ow bemrs e tan red REVERSUS ide eet cee eek 215 Figure t4 Toco 2u 16593 55e cs Era dees ap acp 217 Feie 14 5 DECC Transducer es 218 14 4 MECO Transducer 224 i220 eee Ro ottenuto pbi Pau tun 220 Fiure Us MECG Combi Transducer aal p r2 DUE seb AT Ud RD RE E d PAS 221 List of Figures xii List of Figures xiii xiv List of Figures Tables Tabel t Comtents Checkit ame oA HALE RE dH pA end pad Und 3 Jabled 2 Optional A GCOSSOHES s odor t dob Sor er se awe ae ane do eius eine ed 5 Tableo 1 Contieunne the Monitor v b SER RENI EE EN ERROR E DUE EET heed 20 Tables peas seisein Tn C hu Cac E ex baee EIU Ex dud 21 Table 3 3 Service Setting C10 Options DS
162. ng ROM Board EPROMs Most upgrades require new EPROMS You must fit them now and then reconfigure the monitor For upgrade 501 this is the only procedure you need Options Requiring this Procedure 1 Undo screws 1 at the top and bottom of the ROM Board 2 Move lever 2 upwards and pull the board out of the rear of the monitor Using a flat blade screwdriver replace the EPROM set according the diagram below O56 506 Cy O O O ec Oaa Oee gt ES pegsm34 hpg Push the board back into the slot inside the rear of the monitor Replace the screws and tighten securely Stick the label 3 provided with the new EPROMS onto the board as shown 4 dv Perform the appropriate safety tests and initiate the monitor s self test before allowing the monitor to be used on a patient 80 Upgrades 8 Carefully attach the new label with the additional holes for the NIBP and SpO connectors to the front panel 9 Ifyour S01 upgrade includes a new ROM for the NIBP board follow these instructions Remove the NIBP board from the monitor There is no need to remove the cover a b Undo the screws at the top and bottom of the NIBP board which is in Slots 4 and 5 at the rear of the monitor c Move the lever upwards and pull the board out of the rear of the monitor d Disconnect the part of the NIBP tubing that leads to the display panel at the front of
163. nitor attery holder 45611 40019 V Spring 1400 0967 shown 4 Figure 11 7 Replacing the Batteries 2 Replace the batteries see Figure 11 7 Switch on the monitor Reset the time and date see Chapter 4 Getting Started Basic Considerations and Operation on page 39 If you don t the wrong time and date will be printed on the recorder trace Removal and Replacement Procedures 173 Recorder Assembly To remove the Recorder Assembly proceed as follows psm26sca tif Figure 11 8 Removing the Recorder Assembly Turn the system off and disconnect the power cable Remove the recorder paper Remove the monitor top cover Disconnect the two earth straps 1 from the front assembly Loosen screws 2 and 3 Screws 2 are accessible via holes in the paper tray pov aevo ose Disconnect the cables 4 and 5 between the Digital Interface board and the recorder Remove screw 3 174 Removal and Replacement Procedures 7 Unlock the flex layer by pulling it slightly forward gt 2 gt UNLOCK CONNECTOR REMOVE FLEX 8 Lift the r
164. not approved by Philips may reduce signal quality and may damage the transducer This type of damage will not be covered by warranty Troubleshooting Ultrasound transducer tests and troubleshooting are described in Ultrasound Transducer on page 123 216 Transducers and Patient Modules Toco Transducer M1355A 0 psm10sca tif Figure 14 2 Toco Transducer Description The M1355A Toco Transducer detects relative measurement of uterine activity Blue Toco transducers are sealed units and are NOT repairable Specifications System Passive Strain Gauge Toco Transducer Sensitivity 0 to 12N overload protected Dimensions 75mm 2 95in diameter 25mm 0 98in depth Transducer Weight with Cable 180 gram 6 3 ounces Cable Length 2 5m 8ft 2in Watertight to a depth of 0 5m 1 64 ft Temperature Storage Range 40 C to 60 C 40 F to 140 F Troubleshooting See TOCO Transducer on page 125 for a description of the functional tests which can be carried out with a Toco transducer Transducers and Patient Modules 217 DECG Transducer 1357 psmscn03 tif Figure 14 3 DECG Transducer Description The M1357A Direct ECG Transducer has two spring loaded clamp type connectors for connection to the 15133D EU or 15133E USA spiral scalp electrodes Specifications Input Impedance gt 10MQ CMRR with patient cable 51 5kQ 0 047WF imbalance at line frequency gt 110dB Noise referred to input
165. nter lf Test fails Repeat Test lf Test fails Replace Digital PCB No Sound Replace Transducer Press Recorder keys or Function Keys Click from NO Loudspeaker ps Replace Digital PCB Replace Loudspeaker Still no Sound No mode detection or wrong mode detection Y Replace transducer T Hepeat test Y Still noAwrong mode detection check for error code displayed Mo error code displayed Y Missing Heart Rate Display Y Replace Transducer Replace Frontend PCB Y replace frontend PCB Still no Heart Rate Displayed Replace Digital PCB Replace display PCB Figure 10 24 Troubleshooting Maternal ECG Parameter Test No information printed on recorder Y Check recorder On Y Check paper loaded Y Check cable to thermal printer Y Run Therough Instrument Test Y If Test fails Replace Thermal Printer Y Repeat Test Y lf Test fails Replace Digital PCB 157 Toco Parameter Test 158 TOCO PARAMETER TEST NOT AS OUTLINED No mode detection or wrong mode detection Replace transduce
166. of the paper table spring 2 over the pillar Attach screw 1 9 Attach eject adapter 46 210 Recorder Assembly and Disassembly Recorder Settings When you have re assembled the recorder and installed it into the monitor it may be necessary to adjust the recorder print offset and or the recorder thermal head for trace density Before doing this it is recommended that you first connect one of the transducers and perform a Parameter Test see Parameter Test on page 112 This will enable you to check the offset of the printed test trace and the density of the print as described in Quick Test on page 114 Recorder Assembly and Disassembly 211 Replaceable Parts The item numbers refer to the callouts in Figures 13 2 13 4 and 13 5 Screws and washers which go together are listed together Table 13 1 Replaceable Parts Part Number Item RSUN Description Qty ref New Old Identifier Identifier Thermal Line Printer TLP Assembly Recorder Assembly New M1350 60602 453563272951 complete Recorder Assembly M1350 69602 453563273751 Exchange complete 13 3 ESD shield TLP cover S S M1350 04151 453563272451 ESD cover screws 0515 0897P 453563023841 6 1 Thermal Line Print Head 1810 1421 TLP body M1350 67751 453563064931 7 3 13a 453563273351 TLP arm M1350 45051 Arm screw M3 x 12 0515 1110 Arm washer 3050 0891 453563272781 3 12 11 453563023971 11 4535634
167. off They do not function when the monitor is in calibration mode or in NIBP measurement mode The NIBP acoustic alarm in contrast functions only when the monitor is switched on As the actual overpressure safety mechanism consists of the ventilation valves it is not necessary to test the NIBP alarm function See Maternal External Blood Pressure on page 238 for details of the maternal NIBP alarm limits Safety Maintenance and Calibration Introduction 10 Troubleshooting The foundation for troubleshooting is the interpretation of error messages written on the display and in the systems error log which you can print For details of how to do this and of how to clear the contents of the error log see Printing and Clearing the Error Log on page 24 If no error message occurs you may need to look at the troubleshooting flowchart for the system in Figure 10 1 This directs you towards the problem in a schematic approach Also explained are the procedures to be followed when the Parameter Test and Quick Test are not as described in Chapter 9 Safety Maintenance and Calibration on page 111 Green Power LED Only Do RED LED s in Rear of Monitor Light during Power ON yes Check as for Err 515 no Check as for Err 500 SYSTEM POWER TURNED ON Is There an Error in Display yes Check amp Correct Error no Are Display amp Green Power LED LIT no Are f
168. olin Listmini Model BP 8800 Datascope Accutor 3 4 3SAT and 4SAT 2 Use socket 2 25 pin for connecting Nellcor Maternal Oxygen Saturation monitor N 200 and Nellcor OxiFirst Fetal Oxygen Saturation monitor N 400 56 System Interfaces Philips CMS To connect either a Philips CMS a Philips 78352C or 78354C a Dinamap 1846 8100 or a Philips Datascope Accutorr monitor follow the instructions below The screws for the Philips CMS and 78352C Philips 78352C or 78354C are metric and should be tightened by hand only and not with a 78354C screwdriver Dinamap 1846 8100 Datascope Accutorr Monitor Use interface cable M1350 61609 Connect the 9 pin end of the cable to the Philips Series 50 XM or XMO monitor Connect the 25 pin end of the cable to the external device Secure the interface cable by the screws at the cable connectors Connector 1 Connector 2 25 pin 9 pin Pin Pin ES BIO d s Y Dr 4 EC D MN 20 Figure 5 9 Interface Cable M1350 61609 COLIN BP To connect a COLIN BP 8800 Monitor to a Philips Series 50 XM or XMO monitor 8800 Use the interface cable supplied by the COLIN Corporation with the NIBP monitor Connect the 9 pin end of the cable to the Philips Series 50 XM or XMO monitor Connect the 15 pin end of the cable to the COLIN Secure the interface cable by the screws at the cable connectors Connector 1 CORSO 9 pin 15 p
169. ond processes DECG2 MECG2 or US2 depending on the software loaded Maternal SpO fetal SpO and NIPB measurements are all processed completely on their corresponding PC board The signal processing software is booted from the ROM board into the 68000 program RAM by DMA the process is initiated by the CPU board The DSP CPU signal processor software is booted into its program RAM by the DSP CPU 68000 Communication between the signal processor and the 68000 is by DMA controlled by handshake flags data exchange is via the data RAM by DMA The DMA is controlled by on board logic and hardware The clock circuit generates all clocks of the 40 Mhz backplane master clock Theory of Operation 95 1350 66506 96 ID Revisien Bus driver System Bus Address decoder Figure 8 5 ROM Board Error LED ROM ROM ROM ROM ROM ROM The ROM board contains the sockets for four 1 Mbit ROM pairs The ROM board contains all the system software except NIBP and SpO software which is loaded into the corresponding boards Theory of Operation DIF M1350 66515 Recorder S Switchboard Paper sensing al HW Heating Strobe Safet AMD NER M y circuit Timer nmm j Printhead
170. onitor ana i 21020723501 22288 xmofulll gif Figure 3 2 Service Socket Loading the 1 Switch on both the monitor and the PC Service 2 Now load the program Program If you are using the PC in DOS mode do one of the following e Ifthe program files are contained in a directory change to that directory and enter pegserv e If you want to load the program from drive A or another drive i Insert the program disk into drive A or other ii Select DOS Commands and press At the DOS prompt type A and press iv Type pegserv and press If you are using Windows 95 98 NT e Start the service program by double clicking on the pegserv icon or on the filename pegserv exe 3 The program is now loaded and ready for use Configuring the Monitor 29 Using the Service Program When the program has been loaded onto your PC the main menu is displayed If the menu is not displayed an error message is displayed along the bottom of the screen Main Menu Configuration Settings Recorder Adjustments Service Menu Exit MESSAGE Select with gt cursor keys lt or gt E S D X lt then press ENTER to execute To select an item from the menu move the cursor to the item you require and press m Use the arrow keys A v lt gt keys on the keypad or the E S or X keys to move the cursor Messages are displayed along the bottom of the screen while the Serv
171. onnection to the Obstetrical Display Information System ODIS and the Obstetrical Information Management System OBMS Central Stations The pin allocations for the various signals are shown below chassis ground Instr ID ext test L FHR1 external Marker Instrument ON OFF RS422 in RS422 int Flash RS422 out HR2 Mode 14 13 2 1 Figure 5 8 System Interface Connections signal ground HR1 Mode nic nic nic nic nic Valid TOCO Status 5422 out nic HR2 The following table lists the pin numbers the signals at each pin and the signal details If a Telemetry System Interface M1350 66536 is connected at the same time you should check the correct setting of C13 See Chapter 5 for the correct setting System Interfaces 53 54 Table 5 2 System Interface Pin Connections 4 Toco Status Output Toco external No Toco L IUP H Digital Signal eme NENNEN 1 2 3 Not connected Not connected HR1 Mode 10V Output US 0 6V AECG 5V DECG 6 7V INOP 8 5V Ground Analog Signal Ground Toco 10V 1 V 10 Toco units 100mv R_out 1000 HR2 Mode 10V Output US 0 6V MECG 5V DECG 6 7V INOP 8 5V RS422 Output Digital Serial Output 5 6 7 9 10
172. op and middle of the display panel 1 Take care not to bend the clip so far that it does not spring back to its original shape 2 Remove the smaller end of the clip from the slot in the protruding tab on the edge of the display assembly Reverse this procedure to replace the clip 180 Removal and Replacement Procedures Removing the Spring and Spacer Je 1 Make sure that the display panel is shut 2 Unscrew the spacer 1 from the frontend board as shown in the diagram 3 Remove the end of the spring from the small hole on the protruding tab of the edge of the display assembly 4 Move the other end of the spring from the groove in the spacer Reverse this procedure to replace the spring and spacer Figure 11 10 Removing the Display Assembly Removal and Replacement Procedures 181 To remove the complete display assembly with the tilt mechanism 1 Ifyou have not done this already turn the system off disconnect the power cable and all transducers Remove the monitor top cover Remove screws 1 2 3 and 4 Disconnect the cables from their connections on the DIF board Slide the entire display assembly a small way through the front panel ON vds dex oe Remove the ground cable and then remove the assembly completely Replacement is a reversal
173. oppler Oscillator Frequency 998 4 kHz Ultrasound Intensity lt 1 5mW cm Dimensions 75mm diameter 21 5mm depth Transducer weight with Cable 185 grams 6 5 ounces Cable Length 2 5m 8 2ft Temperature Storage Range 40 C to 60 C 40 F to 140 F Watertight to a depth of 0 5m 1 64 ft Input Impedance gt 1OMQ CMRR with patient cable 51 5 2 0 0471 imbalance at line frequency gt 90dB Noise referred to input with 25k lt 4p Vp Contact Potential Difference x500mV Input Voltage Range 80UVp to 4mVp Patient Leakage Current 120V at 60Hz rms Patient Auxiliary Current lt 0 1 dc Dielectric strength 1500Vrms spark gap protected Transducer Weight with Cable 175 grams 6 2 ounces Cable Length 2 5m 8ft 2in Transducers and Patient Modules Parts List Table 14 3 US MECG Transducer Cable Connections Yellow Red Bridged by Code Resistor 665Q 1 Shield Table 14 4 US MECG Combi Transducer Parts List New Part Number Exchange Part Number New New Old Identifier Identifier Old Identifier Identifier Qty Description Combi Transducer Combi Transducer US M1358 60011 60011 45356327731 M1358 MI358 69011 1 453563277351 Transducer 1358 Combi Cable Combi Cable Assy US Combi Cable Assy US M1358 61681 61681 453563277341 Troubleshooting Troubleshooting for the US MECG Combi Transducer is t
174. or 7 backplane flat cable 13 178 Removal and Replacement Procedures 3 Disconnect the recorder print head 4 from the recorder assembly Remove the two screws 8 and 11 that hold the board in place Slide the digital interface DIF board towards the rear of the monitor before lifting the board up to give the marker connector a chance 6 Remove the label from the front end connector area Score carefully around the connectors in the area with a flat bladed knife Do not allow any adhesive to remain on the front panel Item 12 shows the error LED which is red until the monitor successfully passes its self test Replacement is a reversal of the above procedure Removal and Replacement Procedures 179 Display Assembly To remove the display assembly you must first remove the frontend board and then the digital interface board Removing and Monitors with serial numbers greater than 3545G01115 have a factory fitted clip that secures the Replacing the tiltable maternal display panel Monitors with numbers below have factory fitted securing Maternal device However it is possible that a spring and spacer arrangement may have been fitted by a Display Panel Customer Engineer Before removing the display assembly you must first remove the clip or spring and spacer Removing the Clip clip hpg 1 Gently slide the top of the clip from the slot located at the t
175. ould be used no closer to any part of the device including cables than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with this e symbol n Safety 235 Table 14 8 Conducted RF Immunity Conducted RF Immunity Test EN IEC 61000 4 6 Electromagnetic Environment Guidance Worst Case Recommended Separation Immunity Level Distance d within Frequency in Meters at Frequency Range Range Tested for Ultrasound and ECG Measurements Frequency Range where Immunity Level Known RF Sources is below IEC 60601 1 2 within Frequency Test Level at certain Range frequencies IEC 60601 1 2 Test Level over 150 kHz to 80 MHz Note The device meets the compliance level of 3 0 Vas according to IEC 60601 1 2 for most of the specified test frequency range However within the frequency ranges specified in this table there are some frequencies at which the immunity level is below the IEC 60601 1 2 test level Within each frequency range the worst case immunity level is given Over the frequency range 150 kHz to 80 MHz the recommended separation distance in meters d is found by the following equation Pr 22 JP For a compliance level of 3 0 Vays Vi d 1
176. ove each crystal and moving it up and down as shown Safety Maintenance and Calibration 123 psm 18sca tif Figure 9 2 Testing an Ultrasound Transducer using a A sound should be heard for each crystal tested The pen should be held 2 to 3 cm from the transducer surface when the test is carried out ustrancs hpg Figure 9 3 Position of Crystals in an Ultrasound Transducer 4 sound should also be heard when the transducer is moved back and forth over a solid surface or the hand as shown below pop21sca tif Figure 9 4 Checking an Ultrasound Transducer 124 Safety Maintenance and Calibration Transducer Visual Check Electrical Check If the tests are not as outlined above repeat the tests with another transducer If this does not solve the problem refer to Chapter 10 Troubleshooting The transducers are sealed and are NOT repairable but the connectors can be exchanged Ensure that the transducer housing is sound that the cable is not cracked or broken and that there are no cracks on the connector plug Connect the Toco transducer to the Toco socket Both the connector and socket are brown and keyed so that they mate in only one position Ensure that e the Toco display shows 20 e when the recorder is switched on the date time mode and paper speed are printed on the recorder trace Press the transducer button firmly and look for a deflection on the display and
177. paper General Information Setting Keys xmoperOf tif Figure 1 5 Setting Keys l General Information Time and Date Key Used when changing the time and date Press to show the current time in the Cardio 1 Combi and Toco displays to cycle through the settings to be changed hours minutes day month and year and to return to the normal display Paper Speed Key Used when changing the paper speed Press to show the current paper speed in the Cardio 1 Combi display and to return to the normal display Test Key Used to start monitor self test 13 Rear Panel Slot Positions E ud T e TTE Or SYSTEM SYSTEME 0 TELEJEXT PAR 1 1A 2 e Figure 1 6 Rear Panel Slot Positions number Peron Power Supply with Power Cord Connection including Equipotential Grounding Point 1A ROM Board M1350 66506 CPU Board with Barcode Reader Interface 1350 06513 ENE EE Telemetry Interface Connector M1350 66536 and System Interface Connector RS232 lower If the monitor has NIBP External Blood Pressure Board M1350 66535 Optional Connec
178. parts that pad the two holes already prepared for the NIBP and SpO connectors screws and 2 2 Remove the three cover blanks that cover slots 4 and 5 NIPB and 9 5 from the rear of the monitor 3 the NIBP tubing and SpO cabling with their connectors to the front panel Do not force the screws drilled into the plastic on the front panel Upgrades 77 Next Step 78 spo2nib tif 10 If yo Replace the DIF board into the monitor checking that the marker connector is raised through the front end Reconnect all the cables Secure the earth connection mounting 2 to hold the SpO cable in place and to ensure the correct shielding Place the SpO cable and the NIBP tubing in wide soft curves from the front to the rear card cache and feed them through the appropriate slots Insert the SpO and NIBP boards halfway into the appropriate slots at the rear of the monitor Connect the tubing and the cable and then fully insert the boards Screw the boards into position with the provided screws Attach the self adhesive holders fixing cable and tubing 1 to the top of the card cache so that it allows any subsequent exchange of the boards without removing the top cover Make sure that the cable and tubing lie in a soft curve without any crossover on top of the card cache Pu Put the frontend board back into the monitor sliding it towards the front to click the connectors back into their clips Ensure
179. printer head 200 tools 198 recorder maintenance 123 recorder print offset 211 recorder settings 211 regular maintenance 123 replacement and removal backplane 172 batteries 173 boards 171 digital interface board 178 display assembly 180 front panel assembly 184 frontend board 176 NIBP connector tubing 183 power supply 168 power supply board 168 power supply board fuses 170 recorder assembly 174 SpO2 cable 183 switch boards 185 top cover 167 response mode 22 ROM board a functional description 96 S Safety test 52 protective earth test 122 Safety test S3 patient leakage test 122 Safety test S6 enclosure leakage current test 2 122 Safety tests instrument safety test 120 overview 6 performance tests 119 power on test 119 visual inspection 119 when to perform 118 securing device 180 self test 112 246 self tests overview 6 serial number 71 Index serial prefix number 5 serial suffix number 5 service error message 138 philosophy 6 tests 6 tests an overview 6 service program adjusting the recorder 32 clearing the error log 35 configuring the Monitor 31 cyclic test 33 installing 28 loading 29 main menu 30 option number 27 reading options 34 reading the error log 34 service menu 33 using 30 writing the error log 35 service tests overview 6 permanent test 116 setting FHR paper scale 41 FHR Traces with a Barcode Reader 42 FMP option using keys 42 FMP o
180. ps Support Safety 237 Recommended Separation Distances from Portable and Mobile RF Communication Equipment The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment and the device as recommended below according to the maximum output power of the communications equipment Table 14 10Separation Distance 238 Safety Manufacturer s Information Manufacturer s Responsibility Philips only considers itself responsible for any effects on safety reliability and performance of the equipment if assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by Philips and the electrical installation of the relevant room complies with national standards m andthe instrument is used in accordance with the instructions for use Manufacturers This book refers to monitors made by manufacturers other than Philips These are of Interfacin 5 Dinamap monitors are products of Critikon Incorporated Monitors m Press Mate monitors are products of COLIN Corporation m Datascope monitors are products of Datascope Corporation NELLCOR monitors are products of Tyco Healthcare USA Law United States federal law restricts this device to sale by or o
181. pter 15 Board Positions and type See Rear Panel Slot Positions on page 14 Parts Lists 187 Replacement Parts Table 12 2 Replacement Parts List New Part Number Exchange Part Number Qty Description Old New Old New Identifier Identifier Identifier Identifier Philips Series 50 XM XMO Monitor Breser 1 Stepper Motor Aeg asses _ 1_ Spring Thermal Pine Head ecorder 3 _ Spring recorder _ 1_ masos O 1_ Hl Cardio Transducer pw Comeaor 1 Toco Transducer 1523462 sses ceases tna eso _ nso oes esen Telemesryisysemertace Board Museu sseni T Maternal 5 Assembly M1350 66534 453563273311 M1350 69534 453563273711 UmemmeWcBod moses esen Duat serial mertce Board sses _ Overly Ki rut esen Primary ine Assembly _ 3 _ BwkROMBed sser Pt Power Supply Assembly M1350 69501 451261005021 M1350 68501 451261005011 188 Parts Lists Table 12 2 Replacement Parts List New Part Number Exchange Part Number Qty Description Old New Old New Identifier Identifier Identifier Identifier EPROM Kit Rom Board Firmware M1350 6802x 453563463801 1 01 03 EPROM Kit NIBP Board 1350 6835 1 453563
182. ption maternal Fetal only C03 C03 Fetal Accessories Combined F5pO DECG MECG Patient Module M1365A with 1 1 Ev Ultrasound Transducer 1356 Only one transducer is supplied if option C01 was ordered ECG only Patient Module M1364A with DECG cable M1362B GN NE NEN _ adapter M1363A for use with Patient Module 1 1 1 1 M1364A Reusable Transducer Belts includes belt fastening buttons 4 4 4 4 M1562A B Transducer Knob Adapters M1356 43203 1packof3 1packof3 1packof3 1packof3 pieces pieces pieces pieces Fetal Scalp Electrodes 5 5 5 5 15133D Europe or 15133E USA General Information 3 Table 1 1 Contents Checklist Fetal and Fetal and maternal FSpO and FSpO Fetal Monitor M1350B M1350C M1350C Option Option Fetal and Fetal only maternal Description C03 C03 Maternal Accessories NIBP STAN I II NIBP monitor to cuff interconnect tubing 3 0m M1599A 43 TI 2 fF e Reusable adult finger SpO transducer M1191A and cable M1940A LLL Standard Accessories Remote Event Marker 15249A Power Cord Part no depends on country option Equipotential Cable 8120 2961 USA 8120 4808 Europe Fetal Recording Paper 1 pack 1 pack 1 pack 1 pack M1910A USA Canada M1911A Europe M1913 Japan Aquasonic Gel 40483A 1 1 1 1 or Ultrasound Transmission Gel 40404A Documentation Instructions for
183. ption settings using the pushbuttons as described in Writing the Serial Number on page 36 Using the error log you printed previously ensure that you restore only those options that the customer had before you commenced the upgrade 4 Double check the settings carefully If you accidentally confirm an incorrect serial number 5 Y you can reset it using an access code obtainable from your Philips Response Center 5 Step back to the main menu of the service program and select Configuration Tasks to set the paper speed time format and so forth or perform the self tests or read the error log You will find detailed instructions for all these tasks in Chapter 3 Configuring the Monitor Restoring Using the data from the error log you must now restore the customer s original service settings Of Service course if you have added new functionality you should ensure that default settings for the new Settings Using parameter s are satisfactory for the customer and if not change them See Configuring the Pushbuttons Monitor Using Pushbuttons on page 21 for instructions on changing the settings 82 Upgrades Instruction 10 Upgrade Key Option Upgrades Only This section tells you how to use an upgrade key to add options Twins FMP Fetal Alerting to the Philips Series 50 XM and XMO fetal monitors 1 Disconnect all transducers and telemetry from the monitor 2 Switch on the monitor Plug the upgrade key into the ser
184. ption with a Barcode Reader 42 paper speed and scale 40 time and date 39 specifications DECG with M1362A cable 226 display 245 inputs 245 IUP transducer 224 M1364A 225 M1365A 225 MECG with M1363A cable 226 recorder 246 Spillage 233 SpO2 board error 535 flowchart 152 monitors 55 removing the cable 133 warning messages 137 SpO2 capability adding 77 SpO2 transducer testing 126 spring and spacer 180 supported external devices 55 switch boards removing 185 system fuse values 15 interfaces 45 overview 88 voltage 15 system interface pin connections 52 T Telemetry external parameter input functions 48 input signal connections 14 interface board error 536 flowchart 153 Index interface functional description 106 Telemetry Digital System Interface 52 testing DECG parameter test 157 display 114 external maternal parameters 162 fetal SpO2 parameter test 160 internal fetal parameters 160 internal maternal parameters 159 maternal SpO2 parameter test 159 MECG parameter test 157 NIBP overpressure 132 NIBP parameter test 161 patient modules 127 128 quick test 114 recorder 114 safety 117 self test 246 Toco parameter test 158 Toco transducer 125 transducers 123 ultrasound parameter test 156 ultrasound transducer 123 216 thermal line printer head replacement 200 time changing the format 40 setting 39 time and date setting 39 time format
185. r Repeat test Still no wrong mode detection check for error code displayed No replace Frontend PCB Error code displayed Tocotest tif Missing Toco Display Y Replace Transducer Replace display PCB Replace frontend PCB Y Still no heart rate displayed replace digital PCB Figure 10 25 Troubleshooting Toco Parameter Test No information printed on recorder Y Check recorder On Y Check paper loaded y Check cable to thermal printer Y Run thorough instrument test Y If test fails replace Thermal Printer Repeat test lf test fails replace Digital PCB Troubleshooting Maternal SpO Parameter Test Troubleshooting SpO PARAMETER TEST NOT AS OUTLINED No information printed on recorder Transducer not detected or no value on LCD Check recorder On Repeat test Check paper loaded Replace transducer Still no transducer detection Check cable to thermal printer Run thorough Instrument test No transducer detection replace SpO PCB If test fails replace printer assembly Replace SpOs cable Hepeat test If test fails check Spoztst2 tif DIF and boa
186. r Off Replace DIF PCB Switch Monitor Replace L ED display Check as for Err 500 Figure 10 12 Troubleshooting Error 525 or 527 Replace DI Err5z5ap tif 147 Error 526 LCD Display Board Error 526 DISPLAYED Switch Monitor Off Unplug LCD display from DIF Switch Monitor On Switch Monitor Off Replace DIF PCB Switch Monitor On Is Frr 526 NO Replace LC assy D display displayed Check as for Err S09 Figure 10 13 Troubleshooting Error 526 148 Heplace D Errb26ap tif Troubleshooting Error 532 System Interface Board Note Troubleshooting Figure 10 14 Troubleshooting Error 532 If Philips M1350 66536 is connected at the same time check the correct setting of C13 see Chapter 5 Error 532 DISPLAYED Switch Monitor Off Remove System PCB Switch Monitor On Is Err 532 NO displayed Replace system interface Switch Monitor Off from the Monitor Switch Monitor On Remove all B type interfaces Is Err 532 NO displayed
187. r test 157 NIBP parameter tes 161 recorder paper sensing troubleshooting 163 Toco parameter test 158 troubleshooting the system 133 ultrasound parameter test 156 FMP option setting 42 front end board removing 75 front panel assembly removing 184 frontend board error 516 and 517 flowchart 146 functional description 99 output voltage 141 frontend board removing 176 FSpO2 adding 79 functional description CPU board M1350 66513 93 DIF board M1350 66515 97 DSPII board M1350 66507 95 Dual serial interface board M1350 66533 109 Frontend board M1350 66517 99 maternal oxygen saturation SpO2 board 101 Noninvasive Blood Pressure Board 103 OBMS interface board M1350 66532 108 power supply board M1350 66502 92 ROM board M1350 66506 96 system overview 88 Telemetry System interface board M1350 66536 106 fuse checking 39 fuses 15 G grounding cable 230 I initial inspection 70 input specifications 245 installing the service program 28 instrument identification 5 Instrument safety test 120 IUP formatting 27 setting scale 21 IUP transducer 249 specifications 224 testing 126 L labelling 74 LCD display board error 526 flowchart 148 leakage current 230 LED Display board error 525 and 527 flowchart 147 loading the service program 29 M M1364A patient module testing 127 128 maintenance regular 123 manufacturer s responsibility 239 maternal
188. rd Figure 10 26 Troubleshooting Maternal SpO Parameter Test Internal maternal parameters contained within the monitor override external maternal parameters 159 Fetal SpO Parameter Test 160 FSpOz PARAMETER TEST NOT AS OUTLINED FSpO infermatien printed on recorder Patient medule not detected 2 Replace patient module Sensor not detected or no pulse detection Replace sensor Repeat test Check cable te thermal printer Still no sensor detection replace patient module Check recorder On Check paper loaded Run Quick Test If test fails replace printer assembly Figure 10 27 Troubleshooting Fetal SpO Parameter Test Troubleshooting NIBP Parameter NIBP PARAMETER Test NOT FUNCTIONING No measurement No information printed displayed on LCD on recorder Check recorder Remove cuff and tubing and start NIBP measurement Y Check paper loaded Pump is running Replace NIBP assy 66535 y Check cable to thermal printer y Connect cuff and tubing back start NIEP measurement Run thorough instrument test Y If test fails replace Check and replace NBP primer assy tubing and Conn Pneumatic Y Hepeat test Exchange NIBP assembly
189. recorder The external Toco display maximum is 100 units Lay the transducer face up on a flat surface for a few seconds Press the Toco Baseline Key to re adjust the Toco display to 20 Turn the transducer over so that the button is face down on the flat surface Hold the cable at a point 25 cm from the transducer and ensure that the transducer touches the flat surface only with the button and that the transducer is parallel to the flat surface The Toco display should read between 40 to 50 units Toco display 20 Toco display 40 50 E eo of eof 7 f I M 0 ro r Fo of s 5 007 7 Fou QUE Oe F E E E E co 66 rg vo S o F o 26 6 64 6 6 6069 9408 gt 4 o y o c Sor f d r Flat Surface 0 0 4 7 r 7 x co F 2 2 vy 2 F Es Es D Note The illustration does not show the cable The appearance of the transducer may differ from the illustration If the test results are not as outlined above repeat the test with another transducer If this does not solve the problem refer to Chapter 10 Troubleshooting The transducers are sealed and are NOT repairable but the connectors can be exchanged Safety Maintenance and Calibration 125 The external Toco recorder displ
190. ribed here refer specifically to installation setup repair and upgrade activities and not to the aspects of safety that have already been tested during final acceptance at the factory Use safety testers complying with IEC 60601 1 internationally or any local regulations applicable to the country of the installation For safety test procedures see the operation instructions of the safety tester used and follow any local regulations If you use the Metron safety tester the Metron Report should print results as detailed in this chapter along with other data For information and ordering guides for Metron products contact Metron AS Vegamot 8 N 7048 Trondheim Norway www http www metron biomed com Safety Maintenance and Calibration 117 When to Perform Safety Tests 118 This table tells you when to perform specific safety tests See page 119ff for test details Table 9 2 M1350A B C When to perform safety test blocks Service Event Test Block s Required Installation The product is customer installable For installation instructions refer also to the nstructions for Use for your monitor Preventive Maintenance Preventive maintenance is the responsibility of the customer For preventive maintenance see page 123 Repair This Service Guide contains repair instructions for the XM and XMO monitors Upgrade For upgrade information refer to Chapter 7 Upgrades Perform visual power on an
191. rillation ccce RR 230 CHEF TEVbL o os edite UT e a ec idee dei esp 230 Maximum Input Output Volldbess cocos ase decided qe ehe etras he eid cadat ie ee ae iE na Sea Ss 230 SERICO SOLERE e dad uu 231 Protecuve 232 EVON ake m band cod Beles eae bed coe tante ES 232 OPAC ester eae eer dan te ea a ene ek ea eee eee 233 Electromaenetic Gompatibility EMC 30 0644 be bh idet it ob e due gei dae kid 233 PRiissions and Immunity o ie ad hea nde en om hoe pAb 233 Electronidonebic Emissions c0 dO yes score deed bene dete euis piant 234 DU a dd dA dE ore ies eet 234 Finding Recommended Separation Distances esce eR Eee be be Reb 295 Recommended Separation Distances from Portable and Mobile RF Communication Equipment 238 Manufacturer s Information 4 9244492 eo AX E ERO a Pr S E ERE SE EE 239 Mantiactirer S ReSDoBSIDIDID Cs 51 109 Sopa a o fun S een M eS qM Sateen teow 259 Contents viii NIanuta turers OF lntertacine ade cea a wns das ae Rn re SP es 239 B o Rr P Te ee e
192. ription 109 setting baudrates 60 E earth connection mounting 78 electrical surgery 230 emissions electromagnetic 234 Enclosure leakage current SFC open earth test 122 environment 232 error flowcharts error 500 139 error 502 140 error 506 142 error 507 143 error 513 144 error 515 145 error 516 and 517 146 error 525 and 527 147 error 526 148 error 532 149 error 533 150 error 534 151 error 535 152 error 536 153 error 601 155 error 602 156 error log clearing 24 clearing using the service program 35 printing 24 reading in the service program 34 writing in the service program 35 error messages operator 135 service 138 ESU 230 external devices connecting 56 connecting to Series 50 XM 14 55 external maternal parameters 55 external parameter input functions telemetry 48 F Factory information code FIC 26 fetal oxygen saturation board 105 fetal SpO2 parameter test 160 FHR alerting enabling and disabling 38 flowcharts DECG parameter test 157 error 500 139 error 502 140 error 506 142 error 507 143 error 513 144 error 515 145 error 516 and 517 146 Index error 525 and 527 147 error 526 148 error 532 149 error 533 150 error 534 151 error 535 152 error 536 153 error 601 155 external maternal parameters 162 fetal SpO2 parameter test 160 internal fetal parameters 160 internal maternal parameters 159 maternal SpO2 parameter test 159 MECG paramete
193. s and therefore the file can be printed using the DOS Command print ERRLOG DAT The file is overwritten each time you press the W key Clearing the Error Log Serial Number 2948G00010 Software Revision 02 03 Cyclic Test Read options Read ErrorLog Clear ErrorLog Are you sure Write Ser nr Set Options Fetal Heart Rate Alerting Return to Main Menu MESSAGE Select with cursor keys or gt S D X then press ENTER to execute The confirmation message Are You Sure asks if you do want to clear the error log m Press Y to clear the error log OR m Press N You then return to the Service Menu Configuring the Monitor 35 36 Writing the You can write the serial number to the monitor only if you have replaced the CPU Board with Serial Number exchange board The serial number can be written only once to the exchanged board If you accidently enter the wrong serial number you can reset it using an access code obtainable from your Philips Response Center or from the Philips Technical Marketing Intranet page Softserver NOTE resetting the Serial Number is protected by Access Code Serial Number 3151G00026 Type in 4 digit code from factory TME and press ENTER gt lt MESSAGE write the serial number 1 Using the keyboard type in the serial number of the monitor This is printed on the side and on the bottom of the monitor 2 Press Enter A confirmation mes
194. s then turn the Philips CMS power supply switch on again Check Philips CMS settings and refer to Philips CMS Service Documentation If the SpO PLETH module is plugged in set the HR PULSE source to PLETH Change TEMPI label to T1 Check the cable connection of the temperature Sensor Ensure the Nellcor power supply switches front and rear are both on or both off Alternatively disconnect the Nellcor monitor completely see also page 164 System Interfaces 6 Quick Installation Checks Carrying Out the Checks After you have installed the monitor perform the following checks listed below 1 2 9 Ensure you have loaded some paper and connected the power cord Turn the monitor on Check that the paper speed and time and date are configured With no transducers connected press You should see the following DISPLAY All parts of the display are lit followed by all mode symbols These will flash alternately for about 10 seconds RECORDER During the test the recorder speed will automatically set to 3cm min and a test pattern will be printed on the recorder paper to verify the condition of the thermal print head and if the printer is correctly configured See Figure 9 1 Recorder Test Pattern for a sample recorder test pattern Perform the Parameter Test as described in Parameter Test on page 112 Check the Barcode Reader is correctly connected as outlined in Chapter 3 The pre
195. sage asks if the serial number is correct e Press Y if it is OR e Press N and retype the serial number You then go to the Set Options Screen to reset the options for the monitor Configuring the Monitor Actual Setting is Selection C 01 TWIN OFF OFF ON 02 FMP OFF OFF ON Write Options MESSAGE Select with gt cursor keys lt or gt E S D X lt then press ENTER to execute To select an option 1 Using the appropriate keys move the cursor to the selection you require 2 Press Enter To write the options to the monitor and return to the Main Menu 1 Move cursor to Write Options 2 Press Enter A confirmation message asks if the selected options are correct Configuring the Monitor 37 38 Enabling Disabling FHR Alerting This screen enables you to enable or disable the fetal heart rate alerting To change this configuration you must enter an access code which is available from your Philips Response Center or from the Technical Marketing Softserver page on the Philips Intranet There are two different access codes one enables the alerting and the second disables alerting NOTE Changing the Alert Option is protected by Access Code Alert Option is ENABLED Do you want to DISABLE the Alert option Press lt Y gt for YES or lt N gt for NO MESSAGE To enable or disable the alerting enter the specific code to enable or disable the alerting
196. sducer electrical check 123 specification 215 testing 216 troubleshooting 216 visual check 123 Upgrade option 501 80 upgrade options 69 US MECG combi cable connections 223 dismantling 222 specifications 222 V voltage fuse values 39 output from frontend board 141 output from system interface connection 55 power supply board output 141 setting 15 16 system 15 system voltage checking 39 W warnings 1 writing the error log 35 251
197. serious personal injury Whenever it is likely that the protection has been impaired the monitor must be made inoperative and be secured against any unintended operation Warning Check each time before use that the monitor is in perfect working order and properly grounded Position the patient cable so that it does not come into contact with any other electrical equipment The cable connecting the patient to the monitor must be free of electrolyte Make sure that during operation the monitor is free from condensation This can form when equipment is moved from one building to another and is exposed to moisture and differences in temperature Warning Possible explosion hazard if used in the presence of flammable anaesthetics Environment 232 Use the monitor in an environment that is reasonably free from vibration dust corrosive or explosive gases flammable agents extremes of temperature humidity and so forth It operates within specifications at ambient temperatures between 0 and 55 C Ambient temperatures that exceed these limits can affect the accuracy of the monitor and cause damage to the components and circuits Only products that fulfil the necessary safety and electrical standards should be used in conjunction with the monitor contact your local response center for details Allow at least 5cm 2in clearance around the monitor for proper air circulation If the monitor is mounted in a cabinet allow
198. simulator The use of a patient simulator does not allow checking the specification of the ECG functionality it allows only a check of general function Result NOP should disappear If the test results are not as outlined above repeat the test with another M1362B DECG adapter cable and or M1364A patient module 1 Mode 2 Attach the adapter cable M1363A to the red color coded socket on the M1364A EITHER a Attach electrodes to the M1363A adapter cable and apply the electrodes to the skin for example on the wrists OR b Attach the M1363A adapter cable to a patient simulator Note We do not recommend the use of a specific patient simulator The use of a patient simulator does not allow checking the specification of the ECG Functionality it allows only a check of general function Result You should see MECG values displayed on the maternal LCD display or annotated on the recorder trace If the test results are not as outlined above repeat the test with another M1363A MECG adapter cable and or M1364A patient module Ensure there are no cracks in the patient module and that the cable is not cracked or broken and there are no cracks on the connector plug To verify the operation of the M1365A Patient Module with the M1362B DECG or M1363A MECG adapter cable use the following procedure 1 Plug the M1365A Patient Module into the Cardio 1 Combi socket of the fetal monitor without the adapter cable
199. sufficient space at the front for operation and at the rear for servicing with the cabinet door open Spillage When the maternal display is in a tilted position take additional care to prevent spillage of liquid If liquid enters the monitor through the maternal display recess you must cease using the monitor immediately Contact an authorized engineer for a safety inspection Electromagnetic Compatibility EMC The Electromagnatic Compatibility EMC specifications in this chapter supplement those given in the nstructions for Use This device is an EMC Group 1 Class B device according to EN IEC60601 1 2 Emissions and Immunity The product is designed and evaluated to comply with the emissions and immunity requirements of international and national EMC standards The EMC standards state that manufacturers of patient coupled equipment must specify immunity levels for their systems See Tables 4 9 4 10 and 4 11 for this detailed immunity information See Table 4 12 for recommended minimum separation distances between portable and mobile communications equipment and the product Immunity is defined in the standard as the ability of a system to perform without degradation in the presence of an electromagnetic disturbance Caution should be exercised in comparing immunity levels between different devices The criteria used for degradation are not always specified by the standard and can therefore vary with the manufacturer Safety 2
200. t the top and bottom of the board Move lever 2 upwards and pull the board out of the rear of the monitor eof amp a r es Ce e o pd qoo 4 de ERM Put the reused board s into the appropriate slot s See page 14 for details Replace and tighten the screws 73 Using the To swap the existing recorder to a new unit follow the instructions in the section on Recorder Existing Assembly on page 174 Recorder psm26sca tif Then replace the cover on the monitor using the four screws you reserved earlier Labeling 1 Stick the option indicator label which indicates whether the monitor has FMP and or twin capability beneath the remote event marker socket 2 Place the upgrade serial number label on the righthand side of the cover so that it can be easily seen 74 Upgrades Instruction 5 Removing the Display Assembly To remove the display panel you need first to remove the front end board and then the digital interface board This applies to upgrades to XM and XMO monitors Options Requiring this Procedure A Removing the Front End Board B Removing the Digital Interface Board Upgrades See Frontend Board on page 176 for instructions on how to remove the frontend board difboard hpg 1 Disconnect all the c
201. ted to Slot 5 but physically occupies both Slot 5 and Slot 6 there is a double slot cover in this case Digital Signal Processor DSPII M1350 66507 If the monitor does not have NIBP Slot empty there is a single slot cover in this case Digital Signal Processor CoP Board M1350 66505 Optional Note only in conjunction with M1350 66504 Digital Signal Processor CPU Board M1350 66504 Optional Only with M1350 66505 OR Digital Signal Processor DSPII M1350 66507 Optional Here Slots 5 and 6 are empty Other monitor options Maternal SpO Board M1350 66534 Optional 7 OBMS ODIS Analog Interface optional M1350 66532 Optional Dual Serial Interface DSIF M1350 66533 External Fetal Pulse Oximeter Adult Pulse Oximeter Interface M1350 66534 All optional Fetal SpO Board M1350 66540 Optional Note The DIF board M1350 66515 is located in Slot 0 inside the monitor not visible from the rear 14 General Information 2 Pre Installation Checks Power Source Requirements The monitor can be operated from an ac source of 100 to 120 or 220 to 240 volts 21096 at 50Hz or 60Hz 45 The system will be set to the correct voltage at the factory Prior to installing the system check that the systems voltage has been set correctly The voltage and fuse values are shown on the rear panel i nuue 452494 p BELIGA 195 6 uoua
202. tend board carefully to the rear of the monitor and lift it up out of the unit eR xu UE es Remove screws 4 and 6 to remove the Frontend board from the metal part Replacement replace the Frontend board reverse the above procedure Ensure that you position the board of Frontend under the two metal holders 7 and 8 and the ground clips 9 are still in place Now fix the Board board to the metal holder with screws 4 and 6 Put the assembly back into the unit and slide the complete assembly towards the front to click the connectors back into their clips Ensure that all connectors are fully inserted check this from the front before you fix the board back in place using the two screws 3 and 5 Perform the Instrument Safety Check see page 120 after working on the Frontend board Removal and Replacement Procedures 177 Digital Interface Board difboard hpg 1 If this is not already done turn the system off Disconnect the power cable and all transducers and remove the monitor top cover 2 Disconnect all the cables e loudspeaker cable 1 e power LED connector 2 e recorder switch board connector 3 e recorder sensing board connector 5 Unlock the flex layer connector by pulling it slightly forwards UNLOCK CONNECTOR REMOVE FLEX e recorder stepper motor 6 frontend board connect
203. ternal Blood Pressure Board px ie bbe 103 Peral o pO u siot a ued dod pull dee dad ai a S dry duele d 105 Tellme Sovsen Intere dme d ead nt 106 OBMS Intettace Board ws acct epi HER EE eR iex peus 108 Dual Serial Interface Board biete aree eui 109 Recorder Lest Pattern ado debe Ee nce ENSE Ide tee odo dex 114 Testing an Ultrasound Transducer using 124 Position of Crystals in an Ultrasound Transducer 124 Checking an Ultrasound Transducer han US 124 Connecting the oun used C M RE WERE PANELS TRES 131 Troubleshooting Flowchart for the System _ 133 Rear Panel ata Be Aan eS a eae ae ews 134 LEDs on the DIF and Frontend Boards 134 Mroubleshooune cles dee iE Ode gar taii ee heeded et 139 Troubleshooting Fier 02 xxu pce ede DRE RR des thes cee ees 140 Powersupply Board ce dhe t nM Eee d d 141 Iroubleshootine Eroro UO Uu eS ERIT SM 142 xi 10 8 Troubleshootinp a earn Saree Ream atop ttt edens 143 Figure 1029 lroublesneotinie
204. that all connectors are fully inserted check this from the front before you screw the board back in place Replace the top cover ensuring that the cable and tubing are not squeezed ur upgrade is Option C32 C34 or C35 go to Adding an FSpO2 Board on page 79 If your upgrade is C03 C30 or C34 go to Upgrading ROM Board EPROM on page 80 Upgrades Instruction 7 Adding an Board This adds fetal pulse oximetry capability Options Requiring this Procedure ey ges Dude Replace the DIF board into the monitor checking that the marker connector is raised through the front end Reconnect all the cables Put the frontend board back into the monitor sliding it towards the front to click the connectors back into their clips Ensure that all connectors are fully inserted check this from the front before you screw the board back in place Remove the cover blank from slot 9 at the rear of the monitor Insert the FSpO board into the monitor There is no tubing or cabling to connect Screw the board into position with the screws provided Carefully remove the existing product label from the front of the monitor The existing label says either Series 50 IX or Series 50 XM Replace this with the label that says Series 50 1 mune xmolabel gif Ti Upgrades Go to Upgrading ROM Board EPROM on page 80 79 Instruction 8 Upgradi
205. the switch board are also connected to the Frontend board 100 Theory of Operation Maternal Pulse Oximetry 2 SpO Board transducer FLOATING SECTION M1350 66534 Photo Photo Bandpass Variable Gain Demulti Diode 7 Amplifier Filter Amplifier plexer Ambient Light Detector Resistor 16 Bit A to D Converter Variabl Digital Filter and nfrared Current lt E Gain Control EDs Source Floating Power m Se Floating Lt B Coupler Power Supply NON FLOATING SECTION lt Micro e Communication ROM Processor with instrument SpOZbd tif Figure 8 8 Maternal SpO Board The maternal oxygen saturation SpO parameter is based on the principle of pulse oximetry in which arterial blood flow through tissue is detected optically An adaptor holds two LEDs against one side of the patient s finger or ear One LED emits red light the other infra red light Against the other side the adaptor holds a photo diode The device can register small changes in the conductivity of light in response to patient pulse By isolating the pulsatile component of the signal the maternal SpO board eliminates the effects of absorption from
206. tial Difference x500mV Input Voltage Range 80UVp to 4mVp Patient Leakage Current 120V at 60Hz rms Patient Auxiliary Current lt 0 1 dc Dielectric strength 1500Vrms spark gap protected Transducer Weight with Cable 175 grams 6 2 ounces Cable Length 2 5m 8ft 2in Parts List See DECG MECG Patient Module Parts List on page 227 220 Transducers and Patient Modules Cable Connections Table 14 2 Cable Connections _ 1 6 Bridged by Code Resistor 12 4 1 Troubleshooting The only functional checks that can be carried out on the M1359A MECG Transducer are those outlined in Chapter 9 Safety Maintenance and Calibration US MECG Combi Transducer M1358A Figure 14 5 US MECG Combi Transducer Transducers and Patient Modules 221 Description Specifications 222 Ultrasound Transducer MECG Transducer The M1358A US MECG Combi Transducer gives the end user the possibility to monitor both the FHR and MHR using one transducer The Ultrasound transducer operates in exactly the same way as the standard Ultrasound transducer The MECG transducer has two press fit type connectors that allow connection of two electrode cables M1531B from the maternal ECG electrodes 40493D Caution Using ultrasound gel that is not approved by Philips may reduce signal quality and may damage the transducer This type of damage will not be covered by warranty System Pulsed D
207. time date speed and monitoring modes are printed on the paper To set the paper speed 1 Press and release to display the current speed 2 Press _ or to set the speed 3 Press and release to return to the normal display Getting Started Basic Considerations and Operation Setting the All chart paper available for the monitor is 2 channel chem thermal paper containing 150 FHR Paper numbered pages per pack Each page is 100mm long and 151mm wide Several configurations are Scale available each with a 0 100 labor scale Table 4 1 Types of Trace Paper Available Product Color of id Packs European Highlighted Number Grid per Case KPa scale Three Lines Caution Using recorder paper that is not approved by Philips can damage the monitor This type of damage will not be covered by warranty Some monitor configurations come with a fetal monitoring record FMR management system Included in the FMR system are labels that facilitate a total management system for organized storage and retrieval of patient records If you wish to use paper with a different FHR scale for example 50 210 bpm instead of 30 240 bpm you can change the paper scale settings 1 Using the service software see Using the Service Program on page 30 2 Using pushbuttons see Configuring the Monitor Using Pushbuttons on page 21 Getting Started Basic Considerations and Operation 41 Switching Logic Off and On The default se
208. tions you must follow for the a Glance upgrade you are performing Work Instruction Upgrade option 68 Upgrades Options ata Glance second US Cardio channel Fetal Movement Profile maternal parameters to an XM without maternal capability maternal parameters to IX maternal parameters to an XMO without maternal capability FSpO only maternal parameters to an IX C01 C32 FSpO to an XM that already has maternal capability maternal parameters and FSpO to an IX FSpO only to an XM without maternal capability FSpO and maternal parameters to an XM without maternal capability latest software RS232 interface for OB TraceVue or Telemetry interface combined analog digital system interface for OBMS and ODIS Upgrades Factory ships upgrade key new display NIBP board SpO board new CPU firmware 4 EPROMs installed new base assembly new CPU firmware 4 EPROMs new display NIBP board SpO board new CPU firmware 4 EPROMs installed new base assembly new CPU firmware new display FSpO board new CPU firmware 4 EPROMs installed new base assembly new CPU firmware 4 EPROMs FSpO only display FSpO board new CPU firmware 4 new display FSpO board NIBP board SpO board new CPU firmware 4 EPROMs new CPU firmware 4 EPROMs new NIBP firmware RS232 Telemetry board new CPU firmware
209. to the Cardio 1 Combi socket Press repeatedly until FLIP is displayed The Signal Quality Indicator shows RED if FMP is OFF e GREEN if FMP is ON Press 2 or to change the setting Press repeatedly to return to the normal display Using the Enter FMP Off or FMP On from the barcode sheet Barcode Reader Getting Started Basic Considerations and Operation 43 44 Getting Started Basic Considerations and Operation 5 System Interfaces Monitor Rear Panel System Interfaces A Mi 3o E xmo__bak3cti Figure 5 1 Sockets for Peripheral Devices Interface for optional barcode reader Interface for Philips Avalon CTS Cordless Fetal Transducer System M2720A and Series 50 T Fetal Telemetry System M1310A See Connecting External Devices on page 56 and Interface for Philips M2720A M1310A on page 46 for details System interface for connection to 80225A 80235A OBMS System and or M1340A Fetal Trace Transmitter or M1370A ODIS System optional See System Interface Option J12 on page 53 for details Serial RS232 RS422 system interface for connection of maternal monitors such as Philips CMS See RS232 RS422 Dual Serial Interface Option J13 on page 55 for details
210. to the display assembly following the reverse of the above procedure Note You may need to apply mild force when re seating the switches 7 Ifyour display assembly contains an LCD display make sure the matt side of the display window faces outside Try to avoid any fingerprints and dust on the LCD window glass and LCD display b Ifyour display assembly has no LCD display refit the plastic blanking cover Use the Overlay Label Kit and stick the labels on the new display assembly 9 Fitthe new display assembly to the monitor front panel as described above see Removing and Replacing the Maternal Display Panel on page 180 182 Removal and Replacement Procedures SpO Cable and NIBP Connector Tubing 2 EL e 2 E P Il d 5pOs5 NIB Figure 11 11 Removing the SpO Cable and NIBP Connector Tubing 1 2 3 4 Turn the system off disconnect the power cable and all transducers Remove the monitor top cover Remove screws 1 and 2 from the SpO and or NIBP connector Slide the NIBP board and or SpO board slightly out of the unit Do not remove them completely Disconnect the NIBP tubing and or SpO cable from the boards Release the cable and tubing from where it is fixed to the metal chassis Replacement is a reversal of the above procedure Perform the Instrument Safety Test s
211. tor you receive a new base unit that is fully fitted with the options that were ordered All you have to do is transfer some components from the original monitor into the new base unit and perform a firmware upgrade From the original monitor you must reuse the cover the power supply the recorder and the ROM board Options Requiring this Procedure Reusing the To remove the power supply from the monitor Power Supply psm20sca tif 72 Upgrades 1 Undo the four screws at the rear of the power supply 2 Pull the power supply out of the rear of the monitor 3 Put the power supply into the new card cache of the upgrade kit This is basically a reversal of the above procedure Hold the ON OFF switch on the front of the monitor as this can be dislodged while inserting the power supply If you have trouble locating the power supply into the rear of the monitor remove and check that the pins connecting the supply to the backplane are not bent Reinsert the power supply see page 14 for the correct location Reusing Depending on the configuration of the original monitor you may have to swap up to three other Boards boards from the original monitor into the new one The technique for removal and replacement is the same for all of the boards These boards are psm23sca tif 3 4 Upgrades Telemetry interface Dual serial interface OBMS interface Undo screws 1 and 2 a
212. trol the heating pulse for the thermal array The voltage from a thermistor on the thermal array is A D converted and the CPU programs the heating timer with a value which compensates the ambient temperature m The recorder sensing hardware consists of two reflective light sensors one detecting that the recorder is open the other detecting the black marks on the paper and paper out The display interface uses the same parallel serial converter as the recorder The complete display is blanked frequently for a longer or shorter period depending on the signal from the light sensor on Theory of Operation 97 98 the display board The digital functions of this recorder serial interface RSI are integrated in the RESI ASIC An RS232 serial interface is provided for use during production and service Connection is via a stereo phone on the front panel The board also contains test hardware which is not shown in the diagram The serial data communication to and from the LCD display is controlled by the DUPLO ASIC This ASIC also controls the LCD contrast voltage and the LCD backlight voltage Theory of Operation Frontend Board M1350 66517 Cardio Theory of Operation ECG US
213. try Input Signal Allocations For details of which parameters are supported with each monitor interface combination refer to Monitoring Using External Devices in the ustructions for Use 46 System Interfaces System Interfaces Table 5 1 Telemetry Interface Pin Connections Function 2 External Function 1 Telemetry Parameter iN OOOO eme OOOO pem cn co Oo N WN C MEE N N TI N 3 N N C if ID New Interface Do not connect Old Interface connect to Gnd N N cn HR2 Mode MECG Mode L 1 If pin 5 is high telemetry is off the other inputs have different functions Tele 5 L and Ext para on pn 6 L are not allowed at the same time HCMOS threshold L Low 0 to 1 5V H High 3 5 to 5V 47 Ext Par Code Recorder Toco scale Recorder Philips scale US EU rst sey ey ae o a avus oviv oavaav avmwuse aviv 10V 100 unit 5V 5V 1V 100bpm 0 0V 2 1V 0 0V 1 6V Functions for External Parameter Input Telemetry 48 Pin 1 HR 2 MECG Analog Input Analog Signal Specification Ri gt 10kQ U max 6 Vpp min 40 mVpp MECG Mode L Input pin 25 should be set
214. tting for arrhythmia logic is on To change the setting do the following Connect a DECG transducer to the Cardio 1 Combi or Cardio 2 socket Press repeatedly until Luu is displayed The Signal Quality Indicator shows e if logic is OFF e GREEN if logic is ON Press 2 or to change the setting Press repeatedly to return to the normal display You also return to the normal display automatically if you do not press a key for a few seconds Separating FHR Traces Twins Offset Twin monitoring is an option To help with the interpretation of traces with similar baselines you can separate them Using Keys Connect two fetal heart rate transducers to the Cardio 1 Combi and Cardio 2 sockets Press repeatedly to display c Do The Signal Quality Indicator shows e RED if the traces are NOT SEPARATED e GREEN if the traces are SEPARATED Press L2 or to change the setting Press repeatedly to return to the normal display You also return to the normal display automatically if you do not press a key for a few seconds Using the Enter Twins Offset from the barcode sheet Barcode Reader 42 Getting Started Basic Considerations and Operation Switching FMP Off and FMP is an option The default setting for FMP is on Using Keys To change the setting do the following You also return to the normal display automatically if you do not press a key for a few seconds Connect a transducer
215. tus information Status information is passed to the output as a logic signal Mode information is a sum of logic signals and appears as an analog voltage at the output The UART and RS422 receiver transmitter form a I directional RS422 interface for system notes If a Telemetry System board M1350 66536 is connected at the same time either the RS422 on the M1350 66532 or the RS232 on the M1350 66536 is active See Chapter 3 for information about setting configuration options Theory of Operation Dual Serial Interface Board M1350 66533 Cendiguralian Switch gt HS212 B54 22 Jor ExBmple Mellcer hardshabe TIE Dina 16 46 Figure 8 13 Dual Serial Interface Board The RS232 RS422 dual serial interface board uses both RS232 and RS422 standard voltage levels to interface between the monitor and external devices Currently the monitor supports communication with the following external devices m Philips M1165A 1166A 1175A 1176A CMS with appropriate options abbreviated to Philips CMS Philips 78352C and Philips 78354C Compact Configurable monitors with appropriate options m Philips 26 24 monitors Dinamap 1846 and 8100 NIBP monitors Datascope Accutorr 3 and Accutorr 4 NIBP monitors Datascope Accutorr 3SAT 4SAT NIBP and SpO monitors m Press Mate Listmini Model BP 8800 abbreviated to BP 8800 a Nellcor OxiFirst Oxy
216. uire 2 Press Enter return to the Main Menu 1 Move the cursor to Return to Main Menu 2 Press Enter Example On the screen above the actual value of the recorder zero adjust is Left To change this to Right move the cursor to Right in the Selected Value is column and press The program will adjust the recorder accordingly The values shown on your monitor may be different from those shown Configuring the Monitor Service Menu To select an item from the menu move the cursor to the item you require and press Note Before you select Cyclic Test you must connect ultrasound Toco and DECG transducers to the monitor The serial number and software revision of your monitor may be different from those shown Serial Number 2948600010 Software Revision A 02 03 Cyclic Test Read options Read ErrorLog Clear ErrorLog Write Ser nr Set Options Fetal Heart Rate Alerting Return to Main Menu MESSAGE Select with gt cursor keys lt or gt E S D X then press ENTER to execute Running the Cyclic The Cyclic Test is a continuous Self Test Any errors are written to the Error Log and can be read Test using Read ErrorLog Press any key to stop the test and return to the Service Menu During the test the keys on the front of the monitor are disabled CYCLIC TEST is started It starts a continuous self test of the monitor Press any key to stop this test Read ErrorLog to see the errors
217. ules have a 7 pin ECG connector into which you can plug either DECG cable M1362A or MECG cable M1363A The FSpO combined patient module also has a 9 pin connector for the fetal oxygen sensor Specifications M1364A Patient Overall length 2706mm 30 100mm 106 5in 1 2 3 9in Module Length of free cable 2618mm 30 100mm 103 1in 41 2 3 9in Weight 120 grams 4 2 ounces Size 88x42x30mm 3 5x1 7x1 2in Red Socket DECG or MECG connection M1365A Patient Overall length 2706mm 30 100mm 106 5in 1 2 3 9in Module Length of free cable 2618mm 30 100mm 103 1in 41 2 3 9in Weight 145 grams 5 1 ounces Size 88x42x30mm 3 5x1 7x1 2in Blue Socket FSpO connection Red Socket DECG or MECG connection Transducers and Patient Modules 225 DECG Cable For connecting to red ECGconnector on M1365A and M1364A patient modules M1362A Cable weight 22 grams 0 8 ounces Cable Length 666mm 30mm 26 2in 1 2in DECG Adapter Cable M1362B For connecting to red ECG connector on M1365A and 1304 patient modules Cable weight 35 grams 1 2 ounces approx Cable Length 770mm 30 3in approx MECG Cable For red connector M1365A and M1364A patient modules M1363A Cable weight 16 grams 0 56 ounces Cable Length 606mm 30mm 23 9in 1 2in 226 Transducers and Patient Modules 1364 1365 Patient Leakage Current 120V at 60Hz 10UA rms With DECG
218. ulse Oximetry FSpO Complies with EN 865 1997 ISO9919 1992 Measurement Validation Controlled hypoxia studies in a piglet model The calibration was validated in an independent animal study of a different group of piglets and in a multi center human study comparing monitor readings to simultaneous laboratory arterial blood saturation values obtained on severely cyanotic human infants and children FSpO Performance Specifications Display Range 0 to 9996 Saturation Limit 25 45 Alarms Alarm Delay 0 5 to 9 5 minutes in 0 5 minute steps Accuracy at 1 standard 4 796 deviation Transducers Wavelength 735 nm and 890 nm Range Emitted Light lt 80 mW Energy Pulse Oximeter 15 to 80 Calibration Range 1 Fora more detailed discussion of accuracy refer to the Nellcor OxiFirsci M Oxygen Saturation Monitor N 400 Technical Issues Application Note 5990 0505EN reprinted by Philips from Nellcor s Peri natal Reference Note 1 244 Manufacturer s Information Maternal ECG and Heart Rate Maternal ECG and Heart Rate Specifications Measurement Resolution Recorder 0 25 bpm Display 1 bpm Heart rate Alarm Limits 30 to 250 bpm excluding NIBP Maternal Display Section Numerical Two heart rate displays orange and one uterine activity display green Display 10mm 7 segment LEDs Maternal The maternal display shows Display systolic measurement diastolic measurement level mat
219. ure 8 2 Power Supply Board PSU The Power Supply PSU board operates as a linear regulated power supply with rectifier capacitor and regulator It generates the following voltages Regulated DC 12 V 5 V and 24 V Unregulated DC 28 to 35 V AC 28 V 92 Theory of Operation The regulated voltages have an electronic short circuit current limit The 24 V DC regulator works independently from the others The internal 2 5 V reference voltage is generated from the 24 V so if the 24 V section is inoperative the rest of the power supply won t work The 12 V regulator also needs the regulated 5 V to work correctly The two resets open collector outputs are active low when either the 5V is lower than 4 6 V or the 24 V is lower than 14 8 V The CPU reads the PSU board ID and its four status bits The status bits are m Line frequency clock to differentiate 50 and 60 Hz m 5 V over voltage protection bit PSU error m 12 V current limit bit overload of 12 V or PSU error m 12 V current limit bit overload of 12 V or PSU error CPU M1350 66513 HAM Clock Reset Binal HAM bat back Control Circuit lt Cntr 64 kByt 64 kByt Heset EPROM yte yte 80 MHz 128 Byte y Board Board ATC Sel real time i 68000 cloc
220. uses Replace Fuses Dis play Only Voltage no Check Green LED 9 Reset Voltage Replace if necessary Setting Green LED O K yes Check as for Err 500 no Power Line O K Check Power Line no Replace Power Supply Check as for yes Err 500 Figure 10 1 Troubleshooting Flowchart for the System Troubleshooting 133 When troubleshooting some of the error messages you will have to check LEDs that are situated on the boards The following two diagrams show the locations of the LEDs x ia d f gt 3 amp TOE E 9 E ae 5 Un ey E eae t5 se Oo O Figure 10 2 LEDs in the Rear Panel Digital Interface PCB LED haf a 4 LL L rontend PCB LED pegsm8a tif Figure 10 3 LEDs the DIF and Frontend Boards 134 Troubleshooting Operator Error Messages Troubleshooting LED Error Solution Display Err 1 Wrong transducer in Cardio 1 Combi socket Connect correct transducer Err 1 Wrong transducer in Cardio 2 socket Connect correct transducer Err 2
221. utput The digital serial interface can provide the external parameter signal Interface for Triplets Monitoring Connect the M1360 61671 triplets cable to the 25 pin connector on the telemetry interface or telemetry system interface of the M1350A or M1350B C and to the system interface of either the 8040A or the 8041A Refer to the Instructions for Use for details RS232 System Interface The 9 pin RS232 Telemetry interface system connector provides a digital interface protocol to permit connection to a Philips Series 50 OB TraceVue system or an IBM compatible PC Case chassis for cable shield connection R 3 Gnd Not Connected Data Terminal Ready Not Connected Transmit Data Internally to an Ext Device shorted Not Connected Receive Data from Ext Device Not Connected Carrier Detect 52325 3 rs232sys hpg Figure 5 7 RS232 System Interface Connector 52 System Interfaces Note If an OBMS Board M1350 66532 is plugged in at the same time as the Combined Telemetry Digital System Interface Board M1350 66536 the digital interface on the Telemetry Board is switched off as per default See Chapter 5 for information on how to activate RS232 If the Software Revision installed is earlier than A 04 01 the RS232 system interface will remain inactive System Interface Option J12 The system interface is provided for c
222. ve digits are the Serial Number of the instrument The letter that separates the serial prefix and suffix designates the country in which the instrument was manufactured Germany 3650GO2272 N Serial Number Serial Prefix Country of Manufacture General Information 5 Service Philosophy Any errors produced are marked on the trace paper with the symbol specific error message is shown on the monitor display In addition the errors are reported the system error log see page 24 for instructions on how to print the error log Read the error messages and system error log to determine whether the fault lies in the hardware or firmware These problems can be repaired by board replacement or unit exchange Do not attempt component level board repair Overview of The system contains resident tests to enable monitoring of system status and errors that occur the Service Tests Power On Self Test see page 112 This is invoked whenever the system is switched on Performance Assurance Tests Parameter Test see page 112 This checks the processing of the signal from the transducers e Quick Test see page 114 This checks the display recorder and complete instrument hardware and software Service Tests These are invoked by connecting the monitor to a PC and using a software service tool to assess test and configure the system Cyclic Test see page 116 e Permanent Test see page 116
223. ve the problem refer to Chapter 10 Troubleshooting Maternal SpO Transducer Visual Check Ensure there are no cracks in the transducer and that the cable is not cracked or broken and there are no cracks on the connector plug Electrical Check 1 126 Connect the transducer to the maternal SpO socket Ensure that e the LEDs in the transducer head are lit e the LCD display shows for pulse and for saturation and pulse e when the recorder is switched the date time mode and paper speed are printed on the recorder trace Press and hold the Test key for a short while Ensure that the display and recorder trace show maternal SpO value of 99 and maternal heart rate of 120 bpm To check out the transducer perform a self measurement using your own finger Safety Maintenance and Calibration If the test results not as outlined above try another transducer If this does not solve the problem refer to Chapter 10 Troubleshooting for details about how to check the SpO board and cable ECG M1364A Patient Module Visual Check Ensure there are no cracks in the patient module and that the cable is not cracked or broken and there are no cracks on the connector plug To verify the operation of the M1364A Patient Module with the M1362B DECG or M1363A MECG adapter cable use the following procedure 1 Plug the M1364A Patient Module into the Cardio 1 Combi socket of the Fetal Monitor
224. vice socket see Figure 1 1 on page 8 on your monitor if applicable first remove the little plastic cap on the service socket The start upgrade tone sounds two short beeps when the upgrade begins 4 At the end of the procedure after about 45 seconds you will hear the upgrade successful tone a continuous beep lasting two seconds Unplug the upgrade key from the monitor If you don t hear the start upgrade tone or you hear the upgrade failed tone a series of short beeps lasting 2 seconds there may be several reasons e The battery in the upgrade key may low Replace the battery e You may already have carried out the upgrades for the maximum number of monitors The upgrade key is programmed to perform the ordered upgrades for up to a maximum of eight different monitors If you hear the upgrade failed tone a series of short beeps lasting 2 seconds disconnect the upgrade key and try again from step 3 above If the upgrade still fails carry out the quick test described in Chapter 9 If the response is not the same as that described in this manual contact Philips Support Service 5 Note down the serial number of the upgraded monitor so that you can keep a record of the monitors that have been upgraded M1350 in Germany Upgrades 83 84 6 Stick the feature label to the front of the monitor as in the example below A Fetal Movement Profile B Dual Ultrasound D
225. vious checks should verify the operation of the monitor More complete tests such as transducer tests are given later in this book Quick Installation Checks 65 66 Quick Installation Checks 7 Upgrades Introduction This chapter tells you how to upgrade the monitors which options require which steps and how to restore the monitors original configuration Many of the upgrade options especially those whose option number begins with C require very similar steps to upgrade them as you will see from the tables Overview of Upgrade Options There are many different upgrades possible The following table shows you the upgrade option numbers upgrade option and part numbers are prefixed with M1360 and gives a brief description of their function Existing Configuration Series 50 XM Series 50 XMO Bi 50 without with without maternal maternal maternal parameters parameters parameters FSpO and maternal parameters not applicable not applicable RS232 Interface for Philips OB TraceVue J10 not applicable not applicable not applicable or Telemetry Interface Combined analog digital system interface for J12 J12 J12 J12 OBMS and ODIS Maternal parameter interface to connect J13 J13 J13 J13 external patient monitor Upgrades 67 Work Each upgrade is described in a series of work instructions Not all upgrades require all the work Instructions at instructions The following table shows you exactly which instruc
226. with 25kQ lt 4p Vp Contact Potential Difference 500mV Input Voltage Range 20UVp to 3mVp Patient Leakage Current 120V at 60Hz 10UA rms Patient Auxiliary Current lt 0 1 dc Dielectric strength 1500Vrms spark gap protected Transducer Weight with Cable 185 grams 6 5 ounces Cable Length 2 5m 8ft 2in 218 Transducers and Patient Modules Parts List See DECG MECG Patient Module Parts List on page 227 Cable Connections Table 14 1 Cable Connections 1 6 Bridged by Code Resistor 4 53 1 Troubleshooting The functional checks that can be carried out on the M1357A DECG Transducer are those outlined in Chapter 9 Safety Maintenance and Calibration DECG Legplate Adapter M1347A Q DECG M1347A M1357A Description DECG Legplate Adapter clips onto a DECG legplate transducer M1357A for use with the DECZG Adapter Cable M1362B to monitor fetal DECG Transducers and Patient Modules 219 MECG Transducer 1359 Figure 14 4 MECG Transducer Description The M1359A MECG Transducer has two press fit type connectors that allow connection of two electrode cables from the maternal ECG electrodes Specifications Input Impedance gt 10MQ CMRR with patient cable 51 5kQ 0 047UF imbalance at line frequency gt 90dB Noise referred to input with 25kQ lt 4uVp Contact Poten
227. xternal Blood Pressure Complies with IEC 60601 2 30 1999 EN60601 2 30 2000 Maternal Non invasive Blood Pressure Performance Specifications Pressure Transducer 15 C to 25 C 10 C to 35 C 3 mmHg 0 6 of reading 0 C to 55 C 3 mmHg 1 7 of reading Measurement Ranges 30 to 270 mmHg Cuff Inflation Time Typically less than 10 seconds Auto Mode Repetition Time 2 5 10 15 30 60 minutes Stat Mode Duration 5 minutes Typical at HR over 60 Limit Alarms 5mmHg steps Overpressure Safety 300 mmHg for more than 2 Limit seconds or 330mmHg immediately Pulse Rate Range Measurable within heart rate range of 30 to 240 bpm averaged during NIBP measurement 242 Manufacturer s Information Maternal Pulse Oximetry SpO Complies with EN 865 1997 ISO9919 1992 Measurement Validation The SpO accuracy has been validated in human studies against arterial blood sample reference measured with a co oximeter Alarm Accuracy at 1 Philips Reusable M1191A M1191T standard deviation Transducers M1192A M1192T Disposable Philips Transducers M1904B M1903B Nellcor 70 to 100 3 OxiMax Max A Max P Oxisensor D 25 D 20 Transducers Wavelength 600 to 1000 nm Range Emitted Light lt 5mW Energy Pulse Oximeter 70 to 10096 Calibration Range Display Update Typical 2 seconds Maximum 15 seconds for example with signal Period loss Manufacturer s Information 243 Fetal P
228. ystem Theory of Operation 91 Hardware This section contains brief functional descriptions of some of the boards in the system Most of the signal processing is digital and makes use of ASICs As the boards contain mainly surface mounted components and are not repairable details of the hardware are not covered PSU M1350 Sit LINE FREQUENCY rut TTL OVERVOLTAGE 3 CURRENT LIMIT HEY 35 System CURRENT LIMIT 12v 4 Mb Processor BOARD ID Bus REV CODE rao T AC Fan 28V RMS N F 5V RMS v 1 Regulator Voltage re E901 Protection TRANSFORMER RMS POWER SWITCH UNE d CPU RESET SELECTOR RESET SYST ESET 25V RMS E209 100120 FILTER T A 220V 240V EVB A F902 24V LINE VOLTAGE T A RMS mE eR HN 2 5V HE E 12V TV z Hegulator _ 42V Regulator pegblk02 tif Fig

PHILIPS 50XM Fetal Monitor Service Manual

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